Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $1,365.00 / $5,389.00	Facility		$333.00	$1,365.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $201.30 / $366.61	Professional		$175.00	$201.30	$366.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,028.18 / $3,865.39 / $5,700.78	Facility		$2,028.18	$3,865.39	$5,700.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.62 / $330.29 / $389.11	Professional		$222.62	$330.29	$389.11
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 $217.38 / $291.67 / $415.08	Professional		$217.38	$291.67	$415.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $233.32 / $342.72 / $777.44	Professional		$233.32	$342.72	$777.44
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 $237.38 / $254.59 / $280.87	Professional		$237.38	$254.59	$280.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $324.08	Professional		$32.34	$32.34	$324.08
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 $197.37 / $292.45 / $518.75	Professional		$197.37	$292.45	$518.75