Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.65 / $1,137.65 / $4,944.00	Facility		$519.65	$1,137.65	$4,944.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.26 / $471.92 / $882.49	Professional		$296.26	$471.92	$882.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,366.31 / $4,633.68 / $7,831.05	Facility		$3,366.31	$4,633.68	$7,831.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.70 / $644.13 / $1,089.70	Professional		$424.70	$644.13	$1,089.70
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 $378.92 / $586.55 / $960.86	Professional		$378.92	$586.55	$960.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $461.65 / $790.72 / $1,369.10	Professional		$461.65	$790.72	$1,369.10
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 $428.68 / $447.81 / $747.58	Professional		$428.68	$447.81	$747.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $845.34	Professional		$32.34	$32.34	$845.34
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 $458.18 / $626.66 / $1,087.85	Professional		$458.18	$626.66	$1,087.85