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 $396.24 / $455.76 / $791.38	Professional		$396.24	$455.76	$791.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,787.98 / $5,337.42 / $10,682.29	Facility		$2,787.98	$5,337.42	$10,682.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.52 / $749.78 / $882.81	Professional		$557.52	$749.78	$882.81
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 $417.95 / $662.11 / $940.13	Professional		$417.95	$662.11	$940.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $488.74 / $750.39 / $1,603.95	Professional		$488.74	$750.39	$1,603.95
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 $537.84 / $577.60 / $637.59	Professional		$537.84	$577.60	$637.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $735.68	Professional		$32.34	$32.34	$735.68
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 $454.68 / $637.04 / $1,205.28	Professional		$454.68	$637.04	$1,205.28