Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.78 / $2,989.00 / $7,407.00	Facility		$111.78	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $170.18 / $187.07	Professional		$111.78	$170.18	$187.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $284.18 / $366.62	Facility		$238.19	$284.18	$366.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $416.93 / $507.57	Professional		$416.93	$416.93	$507.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.82 / $252.82 / $252.82	Professional		$252.82	$252.82	$252.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $507.57 / $725.10	Professional		$339.11	$507.57	$725.10
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 $423.03 / $427.06 / $471.32	Professional		$423.03	$427.06	$471.32
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 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.33 / $417.35 / $715.39	Professional		$290.33	$417.35	$715.39