Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.95 / $416.43 / $2,458.76	Facility		$62.95	$416.43	$2,458.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $80.01 / $254.28	Professional		$32.59	$80.01	$254.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $362.47 / $739.14	Facility		$238.19	$362.47	$739.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $86.71 / $138.66	Professional		$44.12	$86.71	$138.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $73.09 / $144.35	Professional		$37.53	$73.09	$144.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $111.64 / $197.26	Professional		$46.05	$111.64	$197.26
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 $44.54 / $46.57 / $111.85	Professional		$44.54	$46.57	$111.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $129.06	Professional		$32.34	$32.34	$129.06
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 $71.67 / $100.87 / $175.77	Professional		$71.67	$100.87	$175.77