Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.69 / $1,379.00 / $5,405.00	Facility		$329.69	$1,379.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.83 / $554.36 / $1,051.58	Professional		$167.83	$554.36	$1,051.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.95 / $2,953.92 / $5,915.22	Facility		$1,380.95	$2,953.92	$5,915.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.59 / $612.12 / $1,252.68	Professional		$214.59	$612.12	$1,252.68
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 $205.59 / $502.99 / $1,143.98	Professional		$205.59	$502.99	$1,143.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $240.39 / $799.68 / $2,076.71	Professional		$240.39	$799.68	$2,076.71
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 $194.58 / $220.58 / $772.94	Professional		$194.58	$220.58	$772.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $874.02	Professional		$32.34	$32.34	$874.02
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $721.51 / $1,175.79 / $1,782.65	Professional		$721.51	$1,175.79	$1,782.65