Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,609.00 / $5,091.00	Facility		$471.00	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.27 / $430.23 / $653.58	Professional		$335.27	$430.23	$653.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.86 / $3,679.06 / $8,024.51	Facility		$754.86	$3,679.06	$8,024.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.21 / $618.84 / $675.55	Professional		$399.21	$618.84	$675.55
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 $328.22 / $497.14 / $727.79	Professional		$328.22	$497.14	$727.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $327.78 / $547.10 / $1,419.81	Professional		$327.78	$547.10	$1,419.81
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 $421.41 / $426.11 / $506.77	Professional		$421.41	$426.11	$506.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $573.04	Professional		$32.34	$32.34	$573.04
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,905.00 / $4,342.00	Facility		$553.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.97 / $459.02 / $814.41	Professional		$357.97	$459.02	$814.41