Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,609.00 / $5,389.00	Facility		$471.00	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.39 / $373.85 / $685.40	Professional		$272.39	$373.85	$685.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.11 / $4,293.41 / $6,005.27	Facility		$1,903.11	$4,293.41	$6,005.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.18 / $485.90 / $624.20	Professional		$324.18	$485.90	$624.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $462.23 / $686.24	Professional		$300.27	$462.23	$686.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $541.04 / $955.68	Professional		$355.56	$541.04	$955.68
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 $343.40 / $351.68 / $497.47	Professional		$343.40	$351.68	$497.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $574.01	Professional		$32.34	$32.34	$574.01
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.40 / $565.67 / $888.19	Professional		$385.40	$565.67	$888.19