Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,379.00 / $5,389.00	Facility		$630.00	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.30 / $483.27 / $899.98	Professional		$473.30	$483.27	$899.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,461.63 / $7,349.02 / $13,263.41	Facility		$3,461.63	$7,349.02	$13,263.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.72 / $670.29 / $1,051.60	Professional		$502.72	$670.29	$1,051.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.67 / $779.86 / $2,001.14	Professional		$501.67	$779.86	$2,001.14
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 $550.47 / $592.88 / $642.94	Professional		$550.47	$592.88	$642.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $741.86	Professional		$32.34	$32.34	$741.86
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.09 / $689.56 / $1,067.45	Professional		$507.09	$689.56	$1,067.45