Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.70 / $1,289.00 / $5,389.00	Facility		$473.70	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $288.79 / $570.70	Professional		$251.43	$288.79	$570.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.98 / $4,375.02 / $6,768.77	Facility		$2,284.98	$4,375.02	$6,768.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $476.77 / $561.80	Professional		$354.51	$476.77	$561.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.51 / $421.02 / $610.46	Professional		$269.51	$421.02	$610.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.72 / $480.68 / $1,058.59	Professional		$326.72	$480.68	$1,058.59
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 $338.35 / $367.58 / $405.42	Professional		$338.35	$367.58	$405.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $467.79	Professional		$32.34	$32.34	$467.79
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 $296.20 / $412.15 / $636.22	Professional		$296.20	$412.15	$636.22