Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.93 / $2,989.00 / $7,407.00	Facility		$323.93	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.89 / $323.93 / $800.00	Professional		$251.89	$323.93	$800.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.64 / $383.64 / $524.99	Professional		$383.64	$383.64	$524.99
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 $321.37 / $447.79 / $574.95	Professional		$321.37	$447.79	$574.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $514.89 / $2,774.43	Professional		$345.40	$514.89	$2,774.43
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 $372.54 / $377.77 / $437.49	Professional		$372.54	$377.77	$437.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $395.55 / $675.91	Professional		$270.14	$395.55	$675.91