Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.30 / $1,842.00 / $5,994.30	Facility		$327.30	$1,842.00	$5,994.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $223.12 / $413.94	Professional		$212.28	$223.12	$413.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,552.58 / $3,154.98 / $5,948.81	Facility		$1,552.58	$3,154.98	$5,948.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.14 / $410.34 / $482.71	Professional		$255.14	$410.34	$482.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.09 / $298.64 / $434.20	Professional		$222.09	$298.64	$434.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $243.34 / $347.87 / $851.16	Professional		$243.34	$347.87	$851.16
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 $245.83 / $264.41 / $287.58	Professional		$245.83	$264.41	$287.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $331.83	Professional		$32.34	$32.34	$331.83
United Facility/Professional Facility Modifier Low / Median / High Price $824.00 / $2,465.00 / $4,780.00	Facility		$824.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.21 / $324.54 / $471.93	Professional		$224.21	$324.54	$471.93