Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.71 / $1,411.00 / $4,634.00	Facility		$433.71	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.56 / $320.98 / $501.82	Professional		$225.56	$320.98	$501.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,571.75 / $3,573.40 / $5,059.93	Facility		$1,571.75	$3,573.40	$5,059.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.77 / $391.05 / $594.54	Professional		$278.77	$391.05	$594.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $643.00 / $2,720.17	Facility		$400.00	$643.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $390.56 / $612.53	Professional		$241.87	$390.56	$612.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.64 / $487.94 / $1,115.56	Professional		$288.64	$487.94	$1,115.56
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 $291.89 / $302.06 / $465.97	Professional		$291.89	$302.06	$465.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $526.91	Professional		$32.34	$32.34	$526.91
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 $288.45 / $402.87 / $704.19	Professional		$288.45	$402.87	$704.19