Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.05 / $1,694.00 / $5,389.00	Facility		$616.05	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.23 / $370.09 / $665.24	Professional		$322.23	$370.09	$665.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.98 / $4,805.89 / $8,674.37	Facility		$2,284.98	$4,805.89	$8,674.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.41 / $611.11 / $720.05	Professional		$454.41	$611.11	$720.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.30 / $539.65 / $781.62	Professional		$369.30	$539.65	$781.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.63 / $616.05 / $2,060.60	Professional		$398.63	$616.05	$2,060.60
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 $435.07 / $471.11 / $519.66	Professional		$435.07	$471.11	$519.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $599.61	Professional		$32.34	$32.34	$599.61
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 $382.79 / $536.38 / $819.42	Professional		$382.79	$536.38	$819.42