Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,882.00 / $5,389.00	Facility		$624.00	$1,882.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.52 / $324.37 / $452.57	Professional		$285.52	$324.37	$452.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.18 / $2,115.44 / $2,702.21	Facility		$897.18	$2,115.44	$2,702.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $785.00 / $1,279.13	Facility		$346.31	$785.00	$1,279.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $430.15 / $660.83	Professional		$290.27	$430.15	$660.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.56 / $349.97 / $1,158.58	Professional		$245.56	$349.97	$1,158.58
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 $259.97 / $266.02 / $291.24	Professional		$259.97	$266.02	$291.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $169.40 / $2,500.00	Professional		$164.83	$169.40	$2,500.00
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 $300.68 / $421.15 / $691.22	Professional		$300.68	$421.15	$691.22