Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.22 / $1,486.00 / $5,493.00	Facility		$343.22	$1,486.00	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.34 / $290.02 / $508.70	Professional		$213.34	$290.02	$508.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.98 / $4,209.30 / $5,866.50	Facility		$2,284.98	$4,209.30	$5,866.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.02 / $439.40 / $562.40	Professional		$285.02	$439.40	$562.40
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 $239.87 / $376.11 / $546.29	Professional		$239.87	$376.11	$546.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.51 / $438.59 / $1,145.91	Professional		$295.51	$438.59	$1,145.91
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 $274.39 / $295.49 / $407.26	Professional		$274.39	$295.49	$407.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $469.92	Professional		$32.34	$32.34	$469.92
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 $272.24 / $393.33 / $613.91	Professional		$272.24	$393.33	$613.91