Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.09 / $735.00 / $4,432.00	Facility		$84.09	$735.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $127.35 / $469.87	Professional		$70.25	$127.35	$469.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.36 / $582.62 / $1,270.78	Facility		$177.36	$582.62	$1,270.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $111.39 / $171.63	Professional		$76.95	$111.39	$171.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $120.91 / $189.45	Professional		$73.00	$120.91	$189.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $150.00 / $410.11	Professional		$86.24	$150.00	$410.11
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 $72.59 / $80.84 / $138.36	Professional		$72.59	$80.84	$138.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $62.35 / $156.44	Professional		$32.34	$62.35	$156.44
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 $98.01 / $149.82 / $263.98	Professional		$98.01	$149.82	$263.98