Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.45 / $1,694.00 / $5,389.00	Facility		$710.45	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.39 / $661.78 / $1,067.63	Professional		$456.39	$661.78	$1,067.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,810.61 / $4,937.35 / $10,768.99	Facility		$2,810.61	$4,937.35	$10,768.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.51 / $837.71 / $1,101.88	Professional		$540.51	$837.71	$1,101.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.19 / $711.16 / $1,138.13	Professional		$492.19	$711.16	$1,138.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $474.88 / $845.70 / $1,871.52	Professional		$474.88	$845.70	$1,871.52
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 $569.39 / $576.42 / $831.22	Professional		$569.39	$576.42	$831.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $939.92	Professional		$32.34	$32.34	$939.92
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 $597.71 / $773.18 / $1,363.52	Professional		$597.71	$773.18	$1,363.52