Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.97 / $1,129.00 / $5,091.00	Facility		$77.97	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $66.83 / $130.41	Professional		$38.27	$66.83	$130.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.61 / $518.96 / $1,039.21	Facility		$242.61	$518.96	$1,039.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $83.91 / $134.19	Professional		$53.86	$83.91	$134.19
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 $48.12 / $82.41 / $133.59	Professional		$48.12	$82.41	$133.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $116.89 / $324.60	Professional		$60.69	$116.89	$324.60
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 $49.95 / $56.36 / $108.54	Professional		$49.95	$56.36	$108.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.24	Professional		$32.34	$32.34	$125.24
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 $69.33 / $99.50 / $167.93	Professional		$69.33	$99.50	$167.93