Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.72 / $1,379.00 / $5,389.00	Facility		$277.72	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $158.82 / $277.72	Professional		$148.91	$158.82	$277.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.02 / $2,740.28 / $4,173.03	Facility		$1,310.02	$2,740.28	$4,173.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $290.08 / $340.19	Professional		$180.36	$290.08	$340.19
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 $159.10 / $229.34 / $368.72	Professional		$159.10	$229.34	$368.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.02 / $258.01 / $646.52	Professional		$172.02	$258.01	$646.52
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 $177.53 / $186.34 / $203.29	Professional		$177.53	$186.34	$203.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $234.57	Professional		$32.34	$32.34	$234.57
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $214.27 / $384.90	Professional		$157.32	$214.27	$384.90