Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.52 / $1,289.00 / $5,091.00	Facility		$560.52	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.31 / $560.52 / $1,004.82	Professional		$464.31	$560.52	$1,004.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.79 / $7,317.20 / $14,652.69	Facility		$3,420.79	$7,317.20	$14,652.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.30 / $929.64 / $1,130.93	Professional		$672.30	$929.64	$1,130.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $792.28 / $1,145.84	Professional		$520.11	$792.28	$1,145.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.22 / $942.83 / $2,267.35	Professional		$630.22	$942.83	$2,267.35
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 $651.04 / $700.39 / $780.27	Professional		$651.04	$700.39	$780.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $882.31	Professional		$32.34	$32.34	$882.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.91 / $693.21 / $1,198.48	Professional		$507.91	$693.21	$1,198.48