Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,842.00 / $5,389.00	Facility		$624.00	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.73 / $476.25 / $891.68	Professional		$439.73	$476.25	$891.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,107.71 / $5,817.47 / $11,907.37	Facility		$3,107.71	$5,817.47	$11,907.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $840.65 / $956.78	Professional		$627.36	$840.65	$956.78
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 $521.94 / $756.11 / $1,006.49	Professional		$521.94	$756.11	$1,006.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $560.48 / $891.68 / $2,558.92	Professional		$560.48	$891.68	$2,558.92
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 $630.38 / $662.39 / $728.10	Professional		$630.38	$662.39	$728.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $840.12	Professional		$32.34	$32.34	$840.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,247.00 / $8,995.00	Facility		$1,400.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $714.04 / $1,067.59	Professional		$505.25	$714.04	$1,067.59