Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.52 / $550.26 / $3,270.00	Facility		$179.52	$550.26	$3,270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $182.43 / $341.02	Professional		$108.86	$182.43	$341.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.11 / $1,053.14 / $2,162.11	Facility		$448.11	$1,053.14	$2,162.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $190.98 / $305.41	Professional		$127.86	$190.98	$305.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $187.60 / $313.86	Professional		$124.97	$187.60	$313.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $255.77 / $750.46	Professional		$139.57	$255.77	$750.46
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 $131.01 / $136.13 / $244.32	Professional		$131.01	$136.13	$244.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $276.27	Professional		$32.34	$32.34	$276.27
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 $176.48 / $238.43 / $410.80	Professional		$176.48	$238.43	$410.80