Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.39 / $1,305.00 / $5,389.00	Facility		$284.39	$1,305.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $216.32 / $357.60	Professional		$137.26	$216.32	$357.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $934.55 / $3,340.89 / $5,402.48	Facility		$934.55	$3,340.89	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.13 / $274.79 / $405.03	Professional		$189.13	$274.79	$405.03
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 $164.11 / $265.67 / $414.05	Professional		$164.11	$265.67	$414.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $339.87 / $689.87	Professional		$203.66	$339.87	$689.87
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 $164.09 / $193.39 / $322.31	Professional		$164.09	$193.39	$322.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $371.90	Professional		$32.34	$32.34	$371.90
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 $213.11 / $322.19 / $480.81	Professional		$213.11	$322.19	$480.81