Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.33 / $1,731.00 / $5,091.00	Facility		$583.33	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.47 / $287.58 / $542.64	Professional		$264.47	$287.58	$542.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,806.30 / $5,149.32 / $10,472.14	Facility		$1,806.30	$5,149.32	$10,472.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $383.03 / $497.74	Professional		$319.70	$383.03	$497.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $643.00 / $6,170.42	Facility		$315.85	$643.00	$6,170.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.41 / $410.00 / $657.01	Professional		$286.41	$410.00	$657.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $468.86 / $1,563.62	Professional		$322.33	$468.86	$1,563.62
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 $323.27 / $352.72 / $380.95	Professional		$323.27	$352.72	$380.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $430.77	Professional		$32.34	$32.34	$430.77
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 $281.17 / $430.89 / $700.86	Professional		$281.17	$430.89	$700.86