Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.64 / $1,225.00 / $5,091.00	Facility		$413.64	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $413.64 / $790.97	Professional		$283.58	$413.64	$790.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,902.05 / $4,073.64 / $7,287.80	Facility		$1,902.05	$4,073.64	$7,287.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.63 / $581.82 / $809.49	Professional		$383.63	$581.82	$809.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $547.04 / $837.37	Professional		$313.64	$547.04	$837.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $655.50 / $1,680.12	Professional		$347.28	$655.50	$1,680.12
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 $390.43 / $402.79 / $622.04	Professional		$390.43	$402.79	$622.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $717.75	Professional		$32.34	$32.34	$717.75
United Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $2,465.00 / $5,026.00	Facility		$897.00	$2,465.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $613.17 / $997.37	Professional		$432.00	$613.17	$997.37