Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,169.00 / $4,634.00	Facility		$438.00	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.95 / $357.22 / $645.72	Professional		$308.95	$357.22	$645.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.24 / $4,633.68 / $8,130.98	Facility		$3,495.24	$4,633.68	$8,130.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.06 / $579.46 / $779.75	Professional		$419.06	$579.46	$779.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,072.73 / $3,430.33	Facility		$463.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.97 / $505.06 / $737.79	Professional		$343.97	$505.06	$737.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $408.61 / $594.34 / $1,346.56	Professional		$408.61	$594.34	$1,346.56
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 $417.00 / $436.11 / $538.84	Professional		$417.00	$436.11	$538.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $609.29	Professional		$32.34	$32.34	$609.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,465.00 / $4,780.00	Facility		$1,095.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.46 / $463.12 / $805.10	Professional		$332.46	$463.12	$805.10