Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.73 / $2,997.87 / $5,782.88	Facility		$414.73	$2,997.87	$5,782.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.01 / $91.46 / $242.57	Facility	53	$30.01	$91.46	$242.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $370.42 / $898.02	Professional		$145.69	$370.42	$898.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.64 / $2,144.98 / $3,188.85	Facility		$966.64	$2,144.98	$3,188.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.64 / $497.21 / $795.11	Professional		$188.64	$497.21	$795.11
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 $193.68 / $429.93 / $932.36	Professional		$193.68	$429.93	$932.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.01 / $679.15 / $1,328.79	Professional		$227.01	$679.15	$1,328.79
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 $191.23 / $203.53 / $637.94	Professional		$191.23	$203.53	$637.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $736.08	Professional		$32.34	$32.34	$736.08
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.84 / $879.79 / $1,495.37	Professional		$568.84	$879.79	$1,495.37