Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,090.30 / $8,511.38	Facility		$691.83	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $912.01	Professional		$416.87	$501.19	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,128.61 / $9,772.37	Facility		$1,905.46	$5,128.61	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $794.33	Professional		$588.84	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,000.00	Professional		$407.38	$602.56	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $2,290.87	Professional		$478.63	$831.76	$2,290.87
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 $537.03 / $575.44 / $630.96	Professional		$537.03	$575.44	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,818.38 / $7,413.10	Facility		$562.34	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $933.25	Professional		$426.58	$562.34	$933.25