Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.52 / $1,207.00 / $4,634.00	Facility		$404.52	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.80 / $317.74 / $536.79	Professional		$207.80	$317.74	$536.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.15 / $3,609.83 / $5,510.44	Facility		$1,406.15	$3,609.83	$5,510.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $370.80 / $550.96	Professional		$248.77	$370.80	$550.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $2,713.32	Facility		$300.00	$480.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.14 / $366.07 / $632.08	Professional		$233.14	$366.07	$632.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $276.07 / $469.31 / $1,053.99	Professional		$276.07	$469.31	$1,053.99
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 $260.39 / $268.37 / $441.84	Professional		$260.39	$268.37	$441.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $499.62	Professional		$32.34	$32.34	$499.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.73 / $423.79 / $715.13	Professional		$310.73	$423.79	$715.13