Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,787.63 / $5,091.00	Facility		$630.00	$1,787.63	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.14 / $522.87 / $952.11	Professional		$430.14	$522.87	$952.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,602.81 / $5,757.75 / $12,558.38	Facility		$2,602.81	$5,757.75	$12,558.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.75 / $986.94 / $986.94	Professional		$717.75	$986.94	$986.94
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 $410.79 / $753.39 / $1,055.22	Professional		$410.79	$753.39	$1,055.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $510.20 / $858.53 / $1,969.37	Professional		$510.20	$858.53	$1,969.37
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 $591.07 / $676.42 / $776.93	Professional		$591.07	$676.42	$776.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $878.53	Professional		$32.34	$32.34	$878.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,435.00 / $4,780.00	Facility		$1,183.00	$2,435.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $633.13 / $1,137.16	Professional		$422.40	$633.13	$1,137.16