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 $298.70 / $423.75 / $738.12	Professional		$298.70	$423.75	$738.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,257.22 / $4,568.57 / $7,577.27	Facility		$3,257.22	$4,568.57	$7,577.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.12 / $557.41 / $914.59	Professional		$403.12	$557.41	$914.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.83 / $569.04 / $861.49	Professional		$360.83	$569.04	$861.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $437.53 / $692.33 / $1,472.96	Professional		$437.53	$692.33	$1,472.96
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 $395.84 / $422.59 / $629.16	Professional		$395.84	$422.59	$629.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $711.45	Professional		$32.34	$32.34	$711.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.23 / $580.26 / $1,028.29	Professional		$439.23	$580.26	$1,028.29