Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,365.00 / $5,091.00	Facility		$438.00	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.74 / $331.13 / $630.47	Professional		$275.74	$331.13	$630.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,340.94 / $3,562.31 / $7,250.12	Facility		$2,340.94	$3,562.31	$7,250.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.40 / $517.52 / $602.55	Professional		$399.40	$517.52	$602.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,799.73 / $2,009.18	Facility		$463.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $465.10 / $688.79	Professional		$317.58	$465.10	$688.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.46 / $541.76 / $1,603.61	Professional		$363.46	$541.76	$1,603.61
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 $393.74 / $409.60 / $447.88	Professional		$393.74	$409.60	$447.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $506.44	Professional		$32.34	$32.34	$506.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.49 / $428.78 / $696.93	Professional		$299.49	$428.78	$696.93