Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.63 / $1,363.00 / $5,389.00	Facility		$551.63	$1,363.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.60 / $551.63 / $1,007.18	Professional		$405.60	$551.63	$1,007.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $5,462.19 / $12,706.69	Facility		$396.36	$5,462.19	$12,706.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.52 / $881.31 / $975.22	Professional		$672.52	$881.31	$975.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.64 / $810.55 / $1,100.79	Professional		$510.64	$810.55	$1,100.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $580.75 / $923.91 / $2,272.79	Professional		$580.75	$923.91	$2,272.79
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 $572.72 / $686.34 / $780.53	Professional		$572.72	$686.34	$780.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $900.62	Professional		$32.34	$32.34	$900.62
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.64 / $729.58 / $1,264.72	Professional		$498.64	$729.58	$1,264.72