Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.10 / $2,989.00 / $7,407.00	Facility		$398.10	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.52 / $398.10 / $615.41	Professional		$309.52	$398.10	$615.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.73 / $463.73 / $634.58	Professional		$463.73	$463.73	$634.58
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 $396.02 / $551.27 / $708.62	Professional		$396.02	$551.27	$708.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $386.84 / $622.37 / $4,235.01	Professional		$386.84	$622.37	$4,235.01
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 $449.55 / $457.17 / $528.80	Professional		$449.55	$457.17	$528.80
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 $313.98 / $495.42 / $817.01	Professional		$313.98	$495.42	$817.01