Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.86 / $1,169.00 / $4,634.00	Facility		$405.86	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $244.50 / $424.38	Professional		$207.26	$244.50	$424.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,912.86 / $2,856.55 / $5,717.09	Facility		$1,912.86	$2,856.55	$5,717.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $413.13 / $504.25	Professional		$298.77	$413.13	$504.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.80 / $358.11 / $506.80	Professional		$222.80	$358.11	$506.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $399.23 / $944.77	Professional		$264.24	$399.23	$944.77
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 $297.88 / $310.36 / $348.91	Professional		$297.88	$310.36	$348.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $394.53	Professional		$32.34	$32.34	$394.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,465.00 / $4,780.00	Facility		$1,095.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.58 / $301.52 / $530.08	Professional		$213.58	$301.52	$530.08