Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.92 / $1,848.00 / $5,393.00	Facility		$494.92	$1,848.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.89 / $517.61 / $780.38	Professional		$308.89	$517.61	$780.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $4,539.93 / $8,193.60	Facility		$3,420.83	$4,539.93	$8,193.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.60 / $571.91 / $704.28	Professional		$413.60	$571.91	$704.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.15 / $568.83 / $953.51	Professional		$365.15	$568.83	$953.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $402.61 / $612.64 / $2,385.07	Professional		$402.61	$612.64	$2,385.07
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 $398.22 / $436.16 / $480.03	Professional		$398.22	$436.16	$480.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $542.79	Professional		$32.34	$32.34	$542.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.25 / $636.64 / $920.17	Professional		$345.25	$636.64	$920.17