Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.92 / $1,364.93 / $5,389.00	Facility		$565.92	$1,364.93	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.01 / $438.76 / $825.46	Professional		$296.01	$438.76	$825.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,291.04 / $4,616.00 / $7,655.94	Facility		$3,291.04	$4,616.00	$7,655.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.71 / $555.57 / $948.24	Professional		$394.71	$555.57	$948.24
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 $359.31 / $551.75 / $868.00	Professional		$359.31	$551.75	$868.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $447.05 / $694.40 / $1,316.83	Professional		$447.05	$694.40	$1,316.83
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 $407.84 / $420.81 / $644.79	Professional		$407.84	$420.81	$644.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $729.12	Professional		$32.34	$32.34	$729.12
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 $434.65 / $607.91 / $1,070.15	Professional		$434.65	$607.91	$1,070.15