Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,882.00 / $11,103.84	Facility		$755.00	$1,882.00	$11,103.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.16 / $496.85 / $872.12	Professional		$431.16	$496.85	$872.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,671.32 / $5,235.91 / $9,618.99	Facility		$2,671.32	$5,235.91	$9,618.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.59 / $678.82 / $847.75	Professional		$505.59	$678.82	$847.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $875.00 / $3,808.57	Facility		$400.00	$875.00	$3,808.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.48 / $677.99 / $994.23	Professional		$442.48	$677.99	$994.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $510.63 / $804.96 / $2,773.11	Professional		$510.63	$804.96	$2,773.11
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 $539.91 / $600.74 / $675.13	Professional		$539.91	$600.74	$675.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $763.42	Professional		$32.34	$32.34	$763.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.17 / $625.55 / $1,054.57	Professional		$445.17	$625.55	$1,054.57