Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.60 / $1,279.20 / $1,825.20	Facility		$639.60	$1,279.20	$1,825.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.40 / $663.00 / $991.38	Professional		$608.40	$663.00	$991.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.00 / $3,357.35 / $10,318.29	Facility		$1,053.00	$3,357.35	$10,318.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $538.20 / $600.60	Professional		$3.50	$538.20	$600.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.57 / $1,734.06 / $3,590.15	Facility		$411.57	$1,734.06	$3,590.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.65 / $949.98 / $1,316.39	Professional		$380.65	$949.98	$1,316.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $720.19 / $1,021.80 / $1,485.90	Professional		$720.19	$1,021.80	$1,485.90
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 $1,014.00 / $1,014.00 / $1,014.00	Professional		$1,014.00	$1,014.00	$1,014.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $1,060.80 / $1,170.00	Professional		$22.99	$1,060.80	$1,170.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $468.00 / $780.00	Professional		$327.60	$468.00	$780.00