Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $8,511.38	Facility		$954.99	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,288.25	Professional		$588.84	$691.83	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,244.36 / $13,803.84	Facility		$2,691.53	$7,244.36	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,122.02	Professional		$812.83	$1,096.48	$1,122.02
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 $537.03 / $870.96 / $1,412.54	Professional		$537.03	$870.96	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $3,162.28	Professional		$676.08	$1,174.90	$3,162.28
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 $758.58 / $794.33 / $870.96	Professional		$758.58	$794.33	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,288.25	Professional		$588.84	$794.33	$1,288.25