Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.58 / $1,486.00 / $5,117.88	Facility		$270.58	$1,486.00	$5,117.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $195.53 / $369.58	Professional		$133.03	$195.53	$369.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,471.06 / $2,247.19 / $3,422.14	Facility		$1,471.06	$2,247.19	$3,422.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.52 / $252.50 / $426.81	Professional		$176.52	$252.50	$426.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.04 / $307.05 / $480.00	Facility		$275.04	$307.05	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.54 / $248.99 / $392.42	Professional		$159.54	$248.99	$392.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $322.26 / $559.16	Professional		$200.00	$322.26	$559.16
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 $177.29 / $185.71 / $293.05	Professional		$177.29	$185.71	$293.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $331.37	Professional		$32.34	$32.34	$331.37
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,453.00 / $4,183.00	Facility		$807.00	$1,453.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.44 / $252.79 / $449.17	Professional		$187.44	$252.79	$449.17