Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.83 / $1,379.00 / $5,389.00	Facility		$582.83	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.64 / $365.43 / $678.20	Professional		$356.64	$365.43	$678.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,441.42 / $6,730.07 / $9,994.31	Facility		$3,441.42	$6,730.07	$9,994.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.61 / $428.61 / $689.33	Professional		$428.61	$428.61	$689.33
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 $376.92 / $503.66 / $733.39	Professional		$376.92	$503.66	$733.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $377.12 / $586.26 / $1,519.42	Professional		$377.12	$586.26	$1,519.42
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 $414.93 / $445.69 / $483.12	Professional		$414.93	$445.69	$483.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $557.45	Professional		$32.34	$32.34	$557.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,874.00	Facility		$1,282.00	$3,751.00	$6,874.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.29 / $518.62 / $803.30	Professional		$380.29	$518.62	$803.30