Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,411.00 / $4,634.00	Facility		$513.00	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.52 / $411.67 / $705.76	Professional		$276.52	$411.67	$705.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,855.97 / $5,290.91 / $9,928.21	Facility		$1,855.97	$5,290.91	$9,928.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.38 / $486.52 / $724.37	Professional		$333.38	$486.52	$724.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $643.00 / $5,676.58	Facility		$400.00	$643.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.14 / $487.53 / $844.89	Professional		$314.14	$487.53	$844.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $350.14 / $605.62 / $1,553.82	Professional		$350.14	$605.62	$1,553.82
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 $351.75 / $362.05 / $578.08	Professional		$351.75	$362.05	$578.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $653.67	Professional		$32.34	$32.34	$653.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.98 / $564.29 / $962.57	Professional		$413.98	$564.29	$962.57