Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.14 / $1,299.84 / $5,430.00	Facility		$648.14	$1,299.84	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.56 / $648.14 / $1,208.51	Professional		$495.56	$648.14	$1,208.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,421.67 / $5,096.60 / $11,116.35	Facility		$2,421.67	$5,096.60	$11,116.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.83 / $822.43 / $1,190.32	Professional		$670.83	$822.43	$1,190.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.08 / $804.19 / $1,250.56	Professional		$512.08	$804.19	$1,250.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $619.99 / $1,016.73 / $2,031.61	Professional		$619.99	$1,016.73	$2,031.61
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 $678.51 / $707.03 / $954.51	Professional		$678.51	$707.03	$954.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,101.35	Professional		$32.34	$32.34	$1,101.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.54 / $876.78 / $1,503.60	Professional		$638.54	$876.78	$1,503.60