Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,989.00 / $6,614.00	Facility		$755.00	$2,989.00	$6,614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.16 / $616.36 / $973.13	Professional		$517.16	$616.36	$973.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,347.32 / $5,282.44 / $10,452.15	Facility		$3,347.32	$5,282.44	$10,452.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.91 / $733.50 / $856.83	Professional		$612.91	$733.50	$856.83
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 $548.87 / $787.33 / $1,169.94	Professional		$548.87	$787.33	$1,169.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $521.00 / $845.56 / $2,638.24	Professional		$521.00	$845.56	$2,638.24
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 $564.10 / $642.82 / $718.47	Professional		$564.10	$642.82	$718.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $812.42	Professional		$32.34	$32.34	$812.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,000.00 / $8,981.00	Facility		$1,600.00	$5,000.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.71 / $770.16 / $1,341.54	Professional		$559.71	$770.16	$1,341.54