Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.66 / $1,972.00 / $5,389.00	Facility		$749.66	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.07 / $579.48 / $842.64	Professional		$458.07	$579.48	$842.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.48 / $4,814.16 / $10,500.30	Facility		$2,740.48	$4,814.16	$10,500.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.42 / $744.67 / $814.16	Professional		$525.42	$744.67	$814.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.01 / $633.26 / $891.26	Professional		$432.01	$633.26	$891.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $415.19 / $703.64 / $1,478.35	Professional		$415.19	$703.64	$1,478.35
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 $553.23 / $560.24 / $609.82	Professional		$553.23	$560.24	$609.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $689.56	Professional		$32.34	$32.34	$689.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.09 / $569.05 / $1,070.76	Professional		$425.09	$569.05	$1,070.76