Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $5,623.41	Facility		$630.96	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $1,348.96	Professional		$436.52	$549.54	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $10,715.19	Facility		$316.23	$426.58	$10,715.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,071.52	Professional		$588.84	$812.83	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,047.13	Professional		$478.63	$707.95	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $2,238.72	Professional		$562.34	$851.14	$2,238.72
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 $575.44 / $616.60 / $741.31	Professional		$575.44	$616.60	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,047.13	Professional		$457.09	$602.56	$1,047.13