Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.61 / $1,439.31 / $5,440.05	Facility		$255.61	$1,439.31	$5,440.05
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.61 / $84.98 / $341.05	Facility	53	$33.61	$84.98	$341.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $304.04 / $1,263.13	Professional		$145.47	$304.04	$1,263.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.64 / $2,229.44 / $3,512.56	Facility		$966.64	$2,229.44	$3,512.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.38 / $481.98 / $1,424.83	Professional		$176.38	$481.98	$1,424.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.31 / $450.00 / $1,457.33	Professional		$179.31	$450.00	$1,457.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $210.49 / $1,030.89 / $1,891.52	Professional		$210.49	$1,030.89	$1,891.52
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 $177.74 / $189.11 / $1,064.34	Professional		$177.74	$189.11	$1,064.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,228.09	Professional		$32.34	$32.34	$1,228.09
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.82 / $1,426.24 / $2,218.41	Professional		$1,005.82	$1,426.24	$2,218.41