Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.65 / $1,055.00 / $5,091.00	Facility		$142.65	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $134.41 / $257.70	Professional		$75.23	$134.41	$257.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $767.44 / $1,673.88	Facility		$273.41	$767.44	$1,673.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $153.47 / $245.43	Professional		$102.57	$153.47	$245.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $149.86 / $243.33	Professional		$89.27	$149.86	$243.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $198.66 / $376.28	Professional		$107.92	$198.66	$376.28
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 $105.83 / $109.08 / $196.48	Professional		$105.83	$109.08	$196.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $222.18	Professional		$32.34	$32.34	$222.18
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 $125.56 / $172.65 / $302.91	Professional		$125.56	$172.65	$302.91