Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,694.00 / $5,389.00	Facility		$720.00	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.90 / $495.06 / $879.00	Professional		$423.90	$495.06	$879.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,168.19 / $4,856.62 / $9,584.37	Facility		$2,168.19	$4,856.62	$9,584.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.39 / $673.94 / $851.22	Professional		$565.39	$673.94	$851.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,091.27	Facility		$400.00	$785.00	$3,091.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.06 / $672.31 / $1,003.28	Professional		$465.06	$672.31	$1,003.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $504.44 / $779.59 / $2,021.41	Professional		$504.44	$779.59	$2,021.41
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 $520.79 / $596.15 / $670.28	Professional		$520.79	$596.15	$670.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $757.93	Professional		$32.34	$32.34	$757.93
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 $458.05 / $618.72 / $1,076.24	Professional		$458.05	$618.72	$1,076.24