Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.18 / $630.00 / $5,405.00	Facility		$101.18	$630.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $104.71 / $234.47	Professional		$55.89	$104.71	$234.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $333.47 / $1,167.21	Facility		$156.94	$333.47	$1,167.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $140.68 / $224.97	Professional		$71.83	$140.68	$224.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $114.15 / $221.34	Professional		$66.68	$114.15	$221.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $175.84 / $304.82	Professional		$81.61	$175.84	$304.82
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 $73.06 / $77.38 / $179.73	Professional		$73.06	$77.38	$179.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $203.23	Professional		$32.34	$32.34	$203.23
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 $110.71 / $162.37 / $301.61	Professional		$110.71	$162.37	$301.61