Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.41 / $2,758.00 / $5,580.00	Facility		$731.41	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.23 / $401.36 / $731.41	Professional		$339.23	$401.36	$731.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,403.59 / $4,302.89 / $9,385.14	Facility		$2,403.59	$4,302.89	$9,385.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.10 / $659.72 / $812.64	Professional		$477.10	$659.72	$812.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,909.00 / $2,131.17	Facility		$875.00	$1,909.00	$2,131.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.22 / $575.02 / $835.99	Professional		$405.22	$575.02	$835.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $455.75 / $661.99 / $1,691.46	Professional		$455.75	$661.99	$1,691.46
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 $479.05 / $503.27 / $553.72	Professional		$479.05	$503.27	$553.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $626.13	Professional		$32.34	$32.34	$626.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.26 / $507.34 / $887.19	Professional		$370.26	$507.34	$887.19