Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,411.00 / $4,634.00	Facility		$471.00	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.10 / $363.64 / $644.79	Professional		$302.10	$363.64	$644.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,085.37 / $3,728.34 / $8,131.98	Facility		$2,085.37	$3,728.34	$8,131.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.12 / $575.40 / $776.28	Professional		$416.12	$575.40	$776.28
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 $352.77 / $507.10 / $761.85	Professional		$352.77	$507.10	$761.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $406.79 / $594.66 / $1,436.87	Professional		$406.79	$594.66	$1,436.87
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 $411.76 / $434.34 / $535.00	Professional		$411.76	$434.34	$535.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $608.78	Professional		$32.34	$32.34	$608.78
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,592.00	Facility		$165.00	$900.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $476.35 / $819.27	Professional		$349.02	$476.35	$819.27