Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.82 / $841.26 / $5,389.00	Facility		$368.82	$841.26	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.04 / $389.38 / $697.29	Professional		$324.04	$389.38	$697.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.44 / $3,915.06 / $8,539.24	Facility		$365.44	$3,915.06	$8,539.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.44 / $606.26 / $818.13	Professional		$438.44	$606.26	$818.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $309.61 / $908.00	Facility		$277.33	$309.61	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.69 / $528.42 / $786.30	Professional		$343.69	$528.42	$786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $405.11 / $615.98 / $1,235.08	Professional		$405.11	$615.98	$1,235.08
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 $437.75 / $457.59 / $563.91	Professional		$437.75	$457.59	$563.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $637.66	Professional		$32.34	$32.34	$637.66
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $752.00 / $3,399.00	Facility		$165.00	$752.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.74 / $473.14 / $830.90	Professional		$359.74	$473.14	$830.90