Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,159.00 / $4,634.00	Facility		$438.00	$1,159.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.32 / $401.13 / $689.41	Professional		$273.32	$401.13	$689.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.67 / $1,463.98 / $5,531.04	Facility		$608.67	$1,463.98	$5,531.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.67 / $493.54 / $721.36	Professional		$358.67	$493.54	$721.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $1,000.00	Facility		$300.00	$480.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $466.74 / $779.90	Professional		$305.00	$466.74	$779.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $347.85 / $590.92 / $1,086.29	Professional		$347.85	$590.92	$1,086.29
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 $346.44 / $357.20 / $565.25	Professional		$346.44	$357.20	$565.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $639.16	Professional		$32.34	$32.34	$639.16
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.43 / $524.77 / $891.93	Professional		$387.43	$524.77	$891.93