Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,696.00 / $5,389.00	Facility		$630.00	$1,696.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.59 / $616.89 / $972.47	Professional		$454.59	$616.89	$972.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,805.00 / $8,139.04 / $16,298.42	Facility		$3,805.00	$8,139.04	$16,298.42
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 $593.01 / $879.22 / $1,176.98	Professional		$593.01	$879.22	$1,176.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $644.77 / $1,016.79 / $2,228.54	Professional		$644.77	$1,016.79	$2,228.54
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 $665.91 / $762.00 / $863.94	Professional		$665.91	$762.00	$863.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $996.86	Professional		$32.34	$32.34	$996.86
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.63 / $785.99 / $1,291.92	Professional		$514.63	$785.99	$1,291.92