Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.14 / $1,411.00 / $4,961.00	Facility		$450.14	$1,411.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.46 / $348.77 / $619.11	Professional		$242.46	$348.77	$619.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.75 / $3,921.87 / $5,814.70	Facility		$1,643.75	$3,921.87	$5,814.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.79 / $408.90 / $605.05	Professional		$289.79	$408.90	$605.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $643.00 / $2,713.32	Facility		$400.00	$643.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $405.24 / $677.11	Professional		$262.55	$405.24	$677.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $512.30 / $1,215.00	Professional		$301.70	$512.30	$1,215.00
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 $301.51 / $311.75 / $485.85	Professional		$301.51	$311.75	$485.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $549.38	Professional		$32.34	$32.34	$549.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $5,405.00 / $12,241.00	Facility		$1,900.00	$5,405.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $454.59 / $768.11	Professional		$331.50	$454.59	$768.11