Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,882.00 / $5,405.00	Facility		$600.00	$1,882.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $133.12 / $219.41	Professional		$88.46	$133.12	$219.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $84.95 / $109.59	Facility		$71.20	$84.95	$109.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $118.98 / $118.98	Professional		$118.98	$118.98	$118.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $191.51 / $316.52	Professional		$149.72	$191.51	$316.52