Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.45 / $1,055.00 / $5,091.00	Facility		$298.45	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $228.40 / $402.39	Professional		$146.08	$228.40	$402.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $931.46 / $1,718.05 / $3,747.29	Facility		$931.46	$1,718.05	$3,747.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.52 / $275.02 / $485.12	Professional		$181.52	$275.02	$485.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.63 / $304.63 / $340.09	Facility		$304.63	$304.63	$340.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $277.62 / $453.80	Professional		$176.70	$277.62	$453.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.33 / $356.97 / $777.73	Professional		$215.33	$356.97	$777.73
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 $191.35 / $199.95 / $331.47	Professional		$191.35	$199.95	$331.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $374.82	Professional		$32.34	$32.34	$374.82
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.91 / $298.72 / $522.58	Professional		$217.91	$298.72	$522.58