Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.22 / $1,609.00 / $5,091.00	Facility		$570.22	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.09 / $517.63 / $1,007.79	Professional		$355.09	$517.63	$1,007.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $3,859.28 / $8,417.58	Facility		$549.75	$3,859.28	$8,417.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.26 / $708.53 / $1,018.77	Professional		$507.26	$708.53	$1,018.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.09 / $653.71 / $1,048.94	Professional		$449.09	$653.71	$1,048.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $485.38 / $843.57 / $1,975.43	Professional		$485.38	$843.57	$1,975.43
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $492.71 / $531.14 / $822.32	Professional		$492.71	$531.14	$822.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $929.85	Professional		$32.34	$32.34	$929.85
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $916.00 / $3,606.00	Facility		$204.00	$916.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $532.85 / $743.24 / $1,287.55	Professional		$532.85	$743.24	$1,287.55