Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,835.00 / $5,389.00	Facility		$720.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.87 / $665.44 / $1,154.14	Professional		$589.87	$665.44	$1,154.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,098.51 / $6,750.49 / $15,703.67	Facility		$4,098.51	$6,750.49	$15,703.67
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 $596.95 / $857.36 / $1,237.55	Professional		$596.95	$857.36	$1,237.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $636.75 / $989.85 / $2,581.46	Professional		$636.75	$989.85	$2,581.46
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 $710.96 / $752.52 / $819.88	Professional		$710.96	$752.52	$819.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $946.02	Professional		$32.34	$32.34	$946.02
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 $618.58 / $852.69 / $1,552.08	Professional		$618.58	$852.69	$1,552.08