Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,848.00 / $5,430.00	Facility		$624.00	$1,848.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.11 / $425.92 / $796.92	Professional		$385.11	$425.92	$796.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,781.32 / $5,445.42 / $10,656.79	Facility		$2,781.32	$5,445.42	$10,656.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.01 / $751.75 / $855.10	Professional		$561.01	$751.75	$855.10
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 $463.25 / $676.15 / $879.11	Professional		$463.25	$676.15	$879.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $500.92 / $796.92 / $2,256.48	Professional		$500.92	$796.92	$2,256.48
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 $565.67 / $591.99 / $651.11	Professional		$565.67	$591.99	$651.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $681.16	Professional		$32.34	$32.34	$681.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.74 / $627.16 / $1,090.48	Professional		$441.74	$627.16	$1,090.48