Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.12 / $1,609.00 / $5,091.00	Facility		$552.12	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.61 / $500.80 / $935.13	Professional		$387.61	$500.80	$935.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $4,219.18 / $9,202.58	Facility		$842.29	$4,219.18	$9,202.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.16 / $695.92 / $988.21	Professional		$549.16	$695.92	$988.21
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 $384.65 / $650.50 / $1,015.27	Professional		$384.65	$650.50	$1,015.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $486.48 / $827.54 / $1,740.48	Professional		$486.48	$827.54	$1,740.48
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 $545.65 / $574.92 / $796.95	Professional		$545.65	$574.92	$796.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $919.56	Professional		$32.34	$32.34	$919.56
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 $500.32 / $704.81 / $1,258.83	Professional		$500.32	$704.81	$1,258.83