Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,486.00 / $4,634.00	Facility		$600.00	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.40 / $548.88 / $1,000.31	Professional		$339.40	$548.88	$1,000.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $4,803.37 / $8,817.24	Facility		$3,420.83	$4,803.37	$8,817.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.85 / $722.39 / $1,212.01	Professional		$491.85	$722.39	$1,212.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,338.66 / $2,610.83	Facility		$620.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $656.33 / $1,091.26	Professional		$428.75	$656.33	$1,091.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $530.19 / $894.94 / $1,734.92	Professional		$530.19	$894.94	$1,734.92
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 $481.98 / $512.05 / $838.41	Professional		$481.98	$512.05	$838.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $948.05	Professional		$32.34	$32.34	$948.05
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 $516.67 / $714.70 / $1,192.15	Professional		$516.67	$714.70	$1,192.15