Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.11 / $1,486.00 / $4,634.00	Facility		$450.11	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.94 / $380.04 / $707.39	Professional		$188.94	$380.04	$707.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,178.63 / $2,255.34 / $4,919.20	Facility		$1,178.63	$2,255.34	$4,919.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $482.40 / $795.77	Professional		$267.39	$482.40	$795.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $929.98 / $1,038.21	Facility		$620.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.49 / $436.05 / $784.16	Professional		$237.49	$436.05	$784.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $311.38 / $644.97 / $1,490.59	Professional		$311.38	$644.97	$1,490.59
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 $264.19 / $276.70 / $596.23	Professional		$264.19	$276.70	$596.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $687.96	Professional		$32.34	$32.34	$687.96
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 $396.13 / $602.90 / $1,217.02	Professional		$396.13	$602.90	$1,217.02