Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.52 / $1,609.00 / $5,549.00	Facility		$511.52	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.42 / $511.52 / $809.93	Professional		$427.42	$511.52	$809.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,263.92 / $4,842.64 / $9,697.37	Facility		$2,263.92	$4,842.64	$9,697.37
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 $454.31 / $645.28 / $1,033.90	Professional		$454.31	$645.28	$1,033.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $432.84 / $689.42 / $1,758.24	Professional		$432.84	$689.42	$1,758.24
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 $441.51 / $532.08 / $597.49	Professional		$441.51	$532.08	$597.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $675.63	Professional		$32.34	$32.34	$675.63
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 $429.11 / $635.85 / $1,119.81	Professional		$429.11	$635.85	$1,119.81