Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $3,073.00 / $5,549.00	Facility		$60.92	$3,073.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $91.65 / $161.34	Professional		$58.96	$91.65	$161.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.40 / $214.24 / $228.76	Professional		$185.40	$214.24	$228.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $122.43 / $217.81	Professional		$115.50	$122.43	$217.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $151.13 / $242.89	Professional		$109.94	$151.13	$242.89
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 $125.03 / $127.39 / $140.34	Professional		$125.03	$127.39	$140.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $130.49 / $224.32	Professional		$87.64	$130.49	$224.32