Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.51 / $1,688.00 / $6,215.50	Facility		$340.51	$1,688.00	$6,215.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.17 / $229.88 / $409.95	Professional		$175.17	$229.88	$409.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,030.95 / $3,870.67 / $5,700.78	Facility		$2,030.95	$3,870.67	$5,700.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.22 / $332.47 / $390.72	Professional		$247.22	$332.47	$390.72
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 $184.83 / $293.58 / $414.80	Professional		$184.83	$293.58	$414.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $344.14 / $869.90	Professional		$228.35	$344.14	$869.90
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 $239.33 / $255.65 / $282.72	Professional		$239.33	$255.65	$282.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $326.22	Professional		$32.34	$32.34	$326.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,733.00 / $6,625.00	Facility		$1,165.00	$3,733.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $273.01 / $512.58	Professional		$195.75	$273.01	$512.58