Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.39 / $1,630.00 / $5,091.00	Facility		$384.39	$1,630.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $290.22 / $579.24	Professional		$181.67	$290.22	$579.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $813.33 / $1,799.19 / $3,924.27	Facility		$813.33	$1,799.19	$3,924.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.19 / $351.58 / $562.23	Professional		$236.19	$351.58	$562.23
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 $219.09 / $329.51 / $579.27	Professional		$219.09	$329.51	$579.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.41 / $439.43 / $767.31	Professional		$221.41	$439.43	$767.31
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 $238.23 / $250.43 / $450.93	Professional		$238.23	$250.43	$450.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $520.30	Professional		$32.34	$32.34	$520.30
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.42 / $403.41 / $721.82	Professional		$292.42	$403.41	$721.82