Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $2,095.00 / $7,293.06	Facility		$581.42	$2,095.00	$7,293.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.62 / $420.25 / $791.35	Professional		$367.62	$420.25	$791.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,444.93 / $9,826.94	Facility		$3,878.08	$5,444.93	$9,826.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.16 / $705.43 / $868.18	Professional		$510.16	$705.43	$868.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.27 / $622.79 / $903.01	Professional		$434.27	$622.79	$903.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $496.31 / $723.78 / $1,916.02	Professional		$496.31	$723.78	$1,916.02
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 $510.61 / $537.66 / $592.10	Professional		$510.61	$537.66	$592.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $669.53	Professional		$32.34	$32.34	$669.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.88 / $545.59 / $937.23	Professional		$400.88	$545.59	$937.23