Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.66 / $1,781.99 / $5,549.00	Facility		$631.66	$1,781.99	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.32 / $631.66 / $1,007.80	Professional		$530.32	$631.66	$1,007.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,795.65 / $5,980.00 / $11,974.95	Facility		$2,795.65	$5,980.00	$11,974.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $746.76 / $873.16	Professional		$624.00	$746.76	$873.16
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 $559.33 / $789.40 / $1,246.66	Professional		$559.33	$789.40	$1,246.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $531.33 / $860.87 / $2,421.30	Professional		$531.33	$860.87	$2,421.30
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 $561.08 / $655.07 / $731.46	Professional		$561.08	$655.07	$731.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $827.11	Professional		$32.34	$32.34	$827.11
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 $561.14 / $810.72 / $1,293.80	Professional		$561.14	$810.72	$1,293.80