Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.32 / $1,988.00 / $7,461.99	Facility		$429.32	$1,988.00	$7,461.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.34 / $2,339.35 / $5,016.76	Professional		$204.34	$2,339.35	$5,016.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,373.40 / $2,937.76 / $5,882.86	Facility		$1,373.40	$2,937.76	$5,882.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $766.10 / $5,135.26	Professional		$266.70	$766.10	$5,135.26
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 $248.48 / $573.08 / $5,212.97	Professional		$248.48	$573.08	$5,212.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $311.29 / $3,700.89 / $6,064.19	Professional		$311.29	$3,700.89	$6,064.19
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 $246.95 / $279.08 / $3,563.82	Professional		$246.95	$279.08	$3,563.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,029.86	Professional		$32.34	$32.34	$4,029.86
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.61 / $5,307.49 / $8,196.04	Professional		$3,388.61	$5,307.49	$8,196.04