Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.45 / $1,842.00 / $5,665.00	Facility		$685.45	$1,842.00	$5,665.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.28 / $522.01 / $1,170.17	Professional		$428.28	$522.01	$1,170.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,585.21 / $5,230.63 / $11,408.68	Facility		$2,585.21	$5,230.63	$11,408.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.51 / $810.50 / $936.33	Professional		$625.51	$810.50	$936.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,799.73 / $2,009.18	Facility		$620.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.69 / $728.39 / $1,050.60	Professional		$482.69	$728.39	$1,050.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $559.08 / $832.34 / $2,899.11	Professional		$559.08	$832.34	$2,899.11
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 $611.44 / $636.49 / $701.42	Professional		$611.44	$636.49	$701.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $793.14	Professional		$32.34	$32.34	$793.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,951.00 / $6,625.00	Facility		$1,499.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.46 / $654.00 / $1,107.99	Professional		$463.46	$654.00	$1,107.99