Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.47 / $1,278.00 / $4,634.00	Facility		$571.47	$1,278.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.74 / $525.78 / $1,009.94	Professional		$465.74	$525.78	$1,009.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,607.56 / $12,230.79	Facility		$2,202.15	$5,607.56	$12,230.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.54 / $871.91 / $1,155.99	Professional		$630.54	$871.91	$1,155.99
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 $530.26 / $759.97 / $1,145.86	Professional		$530.26	$759.97	$1,145.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $605.76 / $883.70 / $3,460.16	Professional		$605.76	$883.70	$3,460.16
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 $618.07 / $656.46 / $798.50	Professional		$618.07	$656.46	$798.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $902.92	Professional		$32.34	$32.34	$902.92
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 $521.28 / $705.95 / $1,206.61	Professional		$521.28	$705.95	$1,206.61