Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,235.00 / $6,180.00	Facility		$755.00	$2,235.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.79 / $459.94 / $840.67	Professional		$384.79	$459.94	$840.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,493.80 / $10,754.95	Facility		$3,878.08	$5,493.80	$10,754.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.40 / $774.90 / $942.78	Professional		$560.40	$774.90	$942.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,430.33 / $10,111.00	Facility		$709.00	$3,430.33	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.41 / $964.35	Professional		$446.68	$660.41	$964.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $525.33 / $768.01 / $2,285.46	Professional		$525.33	$768.01	$2,285.46
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 $546.35 / $583.87 / $650.40	Professional		$546.35	$583.87	$650.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $735.46	Professional		$32.34	$32.34	$735.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.14 / $573.15 / $991.55	Professional		$426.14	$573.15	$991.55