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 $382.75 / $457.97 / $837.66	Professional		$382.75	$457.97	$837.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $4,909.82 / $10,708.95	Facility		$2,202.15	$4,909.82	$10,708.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.22 / $763.59 / $1,018.31	Professional		$552.22	$763.59	$1,018.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.80 / $665.55 / $963.86	Professional		$440.80	$665.55	$963.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.60 / $773.55 / $1,682.07	Professional		$512.60	$773.55	$1,682.07
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 $547.03 / $574.64 / $703.70	Professional		$547.03	$574.64	$703.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $801.81	Professional		$32.34	$32.34	$801.81
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.33 / $597.01 / $1,048.26	Professional		$441.33	$597.01	$1,048.26