Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,278.00 / $4,961.00	Facility		$600.00	$1,278.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.25 / $493.08 / $767.27	Professional		$342.25	$493.08	$767.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.35 / $6,167.36 / $9,928.21	Facility		$1,521.35	$6,167.36	$9,928.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.46 / $599.62 / $883.22	Professional		$429.46	$599.62	$883.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $638.36 / $908.00	Facility		$400.00	$638.36	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.69 / $576.44 / $915.24	Professional		$336.69	$576.44	$915.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.33 / $737.58 / $1,245.03	Professional		$393.33	$737.58	$1,245.03
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 $441.38 / $458.99 / $712.47	Professional		$441.38	$458.99	$712.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $805.63	Professional		$32.34	$32.34	$805.63
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 $438.63 / $603.45 / $1,104.83	Professional		$438.63	$603.45	$1,104.83