Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.78 / $813.00 / $5,389.00	Facility		$364.78	$813.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $298.83 / $558.39	Professional		$167.91	$298.83	$558.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $905.74 / $3,886.17	Facility		$382.03	$905.74	$3,886.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $420.16 / $741.55	Professional		$257.60	$420.16	$741.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $277.33 / $309.61	Facility		$277.33	$277.33	$309.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.82 / $368.45 / $644.55	Professional		$195.82	$368.45	$644.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $253.29 / $522.24 / $1,117.38	Professional		$253.29	$522.24	$1,117.38
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 $225.59 / $260.20 / $522.24	Professional		$225.59	$260.20	$522.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $592.04	Professional		$32.34	$32.34	$592.04
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $843.00 / $3,685.00	Facility		$165.00	$843.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.88 / $386.33 / $747.75	Professional		$258.88	$386.33	$747.75