Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,862.09 / $8,511.38	Facility		$288.40	$1,862.09	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $537.03	Professional		$151.36	$263.03	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $812.83 / $2,398.83	Facility		$234.42	$812.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $512.86	Professional		$177.83	$295.12	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $436.52 / $1,096.48	Professional		$213.80	$436.52	$1,096.48
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 $199.53 / $213.80 / $407.38	Professional		$199.53	$213.80	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $691.83 / $2,187.76	Facility		$131.83	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $478.63	Professional		$162.18	$269.15	$478.63