Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.72 / $437.80 / $855.84	Professional		$375.72	$437.80	$855.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,560.33 / $4,583.49 / $9,997.18	Facility		$2,560.33	$4,583.49	$9,997.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.17 / $542.17 / $702.52	Professional		$542.17	$542.17	$702.52
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 $443.96 / $631.35 / $971.11	Professional		$443.96	$631.35	$971.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $496.90 / $746.43 / $2,036.04	Professional		$496.90	$746.43	$2,036.04
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 $542.35 / $558.10 / $607.97	Professional		$542.35	$558.10	$607.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $687.47	Professional		$32.34	$32.34	$687.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.47 / $608.38 / $1,028.21	Professional		$426.47	$608.38	$1,028.21