Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,471.00 / $4,634.00	Facility		$471.00	$1,471.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.62 / $364.07 / $627.04	Professional		$232.62	$364.07	$627.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,481.73 / $4,464.57 / $6,196.29	Facility		$2,481.73	$4,464.57	$6,196.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $438.42 / $752.14	Professional		$297.20	$438.42	$752.14
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 $282.80 / $453.46 / $696.70	Professional		$282.80	$453.46	$696.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $573.29 / $1,671.78	Professional		$345.40	$573.29	$1,671.78
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 $312.94 / $319.68 / $508.82	Professional		$312.94	$319.68	$508.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $575.36	Professional		$32.34	$32.34	$575.36
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 $394.56 / $533.30 / $958.48	Professional		$394.56	$533.30	$958.48