Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.30 / $1,225.00 / $5,091.00	Facility		$257.30	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $148.63 / $305.73	Professional		$128.54	$148.63	$305.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.25 / $1,763.12 / $3,530.64	Facility		$824.25	$1,763.12	$3,530.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $221.44 / $320.87	Professional		$155.49	$221.44	$320.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $264.86 / $865.72	Professional		$165.65	$264.86	$865.72
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 $167.38 / $196.76 / $234.34	Professional		$167.38	$196.76	$234.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $270.39	Professional		$32.34	$32.34	$270.39
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 $152.93 / $221.58 / $370.85	Professional		$152.93	$221.58	$370.85