Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,758.00 / $5,389.00	Facility		$630.00	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.77 / $480.05 / $940.09	Professional		$316.77	$480.05	$940.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,376.60 / $7,482.24 / $12,138.23	Facility		$3,376.60	$7,482.24	$12,138.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.13 / $577.74 / $991.40	Professional		$406.13	$577.74	$991.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.71 / $590.14 / $911.51	Professional		$380.71	$590.14	$911.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $469.98 / $755.66 / $2,031.86	Professional		$469.98	$755.66	$2,031.86
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 $423.49 / $436.41 / $670.53	Professional		$423.49	$436.41	$670.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $758.21	Professional		$32.34	$32.34	$758.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.40 / $654.50 / $1,085.60	Professional		$486.40	$654.50	$1,085.60