Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.73 / $1,055.00 / $4,634.00	Facility		$338.73	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.47 / $327.79 / $519.94	Professional		$189.47	$327.79	$519.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.88 / $2,118.52 / $4,010.09	Facility		$842.88	$2,118.52	$4,010.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.74 / $490.93 / $908.00	Facility		$341.74	$490.93	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $353.68 / $606.12	Professional		$200.00	$353.68	$606.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $253.97 / $493.58 / $1,075.06	Professional		$253.97	$493.58	$1,075.06
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 $241.09 / $255.58 / $477.48	Professional		$241.09	$255.58	$477.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $539.91	Professional		$32.34	$32.34	$539.91
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.54 / $410.06 / $750.75	Professional		$293.54	$410.06	$750.75