Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.67 / $1,305.00 / $5,091.00	Facility		$219.67	$1,305.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.47 / $233.86 / $434.28	Professional		$106.47	$233.86	$434.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,247.02 / $3,145.83	Facility		$1,081.08	$2,247.02	$3,145.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $278.18 / $475.86	Professional		$144.22	$278.18	$475.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $245.83 / $474.63	Professional		$135.22	$245.83	$474.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $355.35 / $841.39	Professional		$165.74	$355.35	$841.39
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 $141.32 / $150.96 / $355.02	Professional		$141.32	$150.96	$355.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $409.64	Professional		$32.34	$32.34	$409.64
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,664.00 / $5,026.00	Facility		$749.00	$2,664.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.70 / $343.98 / $608.11	Professional		$236.70	$343.98	$608.11