Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.74 / $2,141.77 / $5,549.00	Facility		$196.74	$2,141.77	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $132.94 / $226.76	Professional		$87.87	$132.94	$226.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,194.54 / $2,592.71 / $5,510.44	Facility		$1,194.54	$2,592.71	$5,510.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $202.07 / $217.42	Professional		$140.16	$202.07	$217.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $169.24 / $250.00	Professional		$124.72	$169.24	$250.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.30 / $197.81 / $482.99	Professional		$136.30	$197.81	$482.99
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 $142.10 / $146.07 / $161.08	Professional		$142.10	$146.07	$161.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.87	Professional		$32.34	$32.34	$185.87
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $182.43 / $264.98	Professional		$120.94	$182.43	$264.98