Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.43 / $1,017.00 / $5,389.00	Facility		$266.43	$1,017.00	$5,389.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.14 / $70.39 / $99.70	Facility	53	$30.14	$70.39	$99.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $280.14 / $498.52	Professional		$150.69	$280.14	$498.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,518.31 / $3,295.43 / $5,402.48	Facility		$1,518.31	$3,295.43	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.54 / $357.72 / $625.26	Professional		$187.54	$357.72	$625.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $7,366.00 / $8,072.00	Facility		$463.00	$7,366.00	$8,072.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.73 / $313.45 / $589.67	Professional		$189.73	$313.45	$589.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $216.76 / $456.30 / $1,396.38	Professional		$216.76	$456.30	$1,396.38
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 $176.33 / $194.34 / $455.38	Professional		$176.33	$194.34	$455.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $525.44	Professional		$32.34	$32.34	$525.44
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 $289.27 / $458.27 / $811.87	Professional		$289.27	$458.27	$811.87