Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,462.63 / $5,430.00	Facility		$755.00	$1,462.63	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.55 / $658.52 / $1,153.39	Professional		$538.55	$658.52	$1,153.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.29 / $7,218.08 / $14,454.20	Facility		$3,311.29	$7,218.08	$14,454.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $697.07 / $908.00	Facility		$400.00	$697.07	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.17 / $905.89 / $1,291.08	Professional		$603.17	$905.89	$1,291.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.24 / $1,040.36 / $3,357.09	Professional		$676.24	$1,040.36	$3,357.09
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 $703.55 / $795.57 / $894.28	Professional		$703.55	$795.57	$894.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $935.56	Professional		$32.34	$32.34	$935.56
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.82 / $799.39 / $1,398.69	Professional		$592.82	$799.39	$1,398.69