Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.48 / $1,289.00 / $7,723.00	Facility		$425.48	$1,289.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $388.01 / $696.03	Professional		$200.37	$388.01	$696.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,178.63 / $2,462.10 / $5,370.16	Facility		$1,178.63	$2,462.10	$5,370.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.91 / $493.44 / $854.07	Professional		$308.91	$493.44	$854.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $929.98 / $1,038.21	Facility		$463.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.14 / $474.30 / $836.23	Professional		$250.14	$474.30	$836.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $319.23 / $653.80 / $1,296.89	Professional		$319.23	$653.80	$1,296.89
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 $277.56 / $309.05 / $650.96	Professional		$277.56	$309.05	$650.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $736.09	Professional		$32.34	$32.34	$736.09
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.42 / $578.41 / $955.39	Professional		$382.42	$578.41	$955.39