Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,385.00 / $5,580.00	Facility		$630.00	$2,385.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.39 / $612.84 / $961.19	Professional		$434.39	$612.84	$961.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,575.21 / $9,979.12	Facility		$2,796.70	$4,575.21	$9,979.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.86 / $707.03 / $951.61	Professional		$498.86	$707.03	$951.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.67 / $668.06 / $987.81	Professional		$453.67	$668.06	$987.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $431.65 / $755.55 / $2,180.42	Professional		$431.65	$755.55	$2,180.42
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 $522.47 / $531.32 / $717.50	Professional		$522.47	$531.32	$717.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $811.32	Professional		$32.34	$32.34	$811.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,733.00 / $6,514.00	Facility		$1,282.00	$3,733.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.56 / $678.05 / $1,152.30	Professional		$511.56	$678.05	$1,152.30