Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.49 / $1,848.00 / $5,393.00	Facility		$703.49	$1,848.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.02 / $426.72 / $784.19	Professional		$371.02	$426.72	$784.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,610.33 / $5,304.42 / $10,001.62	Facility		$2,610.33	$5,304.42	$10,001.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.61 / $700.14 / $824.69	Professional		$520.61	$700.14	$824.69
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 $398.76 / $618.28 / $882.42	Professional		$398.76	$618.28	$882.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $456.57 / $705.60 / $1,958.70	Professional		$456.57	$705.60	$1,958.70
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 $502.57 / $539.58 / $595.37	Professional		$502.57	$539.58	$595.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $686.97	Professional		$32.34	$32.34	$686.97
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 $423.28 / $568.16 / $928.19	Professional		$423.28	$568.16	$928.19