Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.64 / $1,129.00 / $5,091.00	Facility		$213.64	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $177.84 / $312.97	Professional		$115.72	$177.84	$312.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.91 / $1,156.64 / $2,522.79	Facility		$528.91	$1,156.64	$2,522.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $225.10 / $345.05	Professional		$153.19	$225.10	$345.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $213.83 / $347.07	Professional		$133.30	$213.83	$347.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.71 / $285.75 / $540.04	Professional		$160.71	$285.75	$540.04
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 $157.43 / $163.37 / $275.44	Professional		$157.43	$163.37	$275.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $311.45	Professional		$32.34	$32.34	$311.45
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 $179.24 / $249.45 / $440.26	Professional		$179.24	$249.45	$440.26