Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.56 / $1,411.00 / $5,389.00	Facility		$323.56	$1,411.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $263.73 / $496.84	Professional		$169.97	$263.73	$496.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,710.13 / $3,789.51 / $6,220.52	Facility		$1,710.13	$3,789.51	$6,220.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.29 / $340.92 / $516.88	Professional		$235.29	$340.92	$516.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.26 / $336.66 / $518.44	Professional		$211.26	$336.66	$518.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $447.27 / $1,216.33	Professional		$239.88	$447.27	$1,216.33
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 $222.74 / $247.43 / $416.33	Professional		$222.74	$247.43	$416.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $480.38	Professional		$32.34	$32.34	$480.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,000.00 / $8,995.00	Facility		$1,600.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.47 / $400.46 / $689.87	Professional		$280.47	$400.46	$689.87