Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,862.09 / $5,888.44	Facility		$263.03	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $416.87	Professional		$114.82	$190.55	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,513.56 / $2,884.03	Facility		$549.54	$1,513.56	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $346.74	Professional		$158.49	$234.42	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $380.19	Professional		$144.54	$223.87	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $1,122.02	Professional		$169.82	$288.40	$1,122.02
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 $158.49 / $169.82 / $275.42	Professional		$158.49	$169.82	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $380.19	Professional		$138.04	$218.78	$380.19