Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $100.47 / $179.69	Facility		$55.04	$100.47	$179.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $78.47 / $145.85	Professional		$43.43	$78.47	$145.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.43 / $494.52 / $1,150.41	Facility		$238.43	$494.52	$1,150.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $91.55 / $156.11	Professional		$58.34	$91.55	$156.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $90.25 / $158.94	Professional		$52.22	$90.25	$158.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $125.02 / $261.38	Professional		$65.87	$125.02	$261.38
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 $59.62 / $61.17 / $116.09	Professional		$59.62	$61.17	$116.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.94	Professional		$32.34	$32.34	$133.94
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $117.74 / $198.01	Professional		$83.09	$117.74	$198.01