Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.36 / $1,471.00 / $5,091.00	Facility		$239.36	$1,471.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.91 / $190.46 / $365.27	Professional		$115.91	$190.46	$365.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.60 / $2,853.29 / $6,264.66	Facility		$1,314.60	$2,853.29	$6,264.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $241.96 / $389.81	Professional		$154.94	$241.96	$389.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.11 / $240.00 / $389.08	Professional		$146.11	$240.00	$389.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $312.25 / $719.80	Professional		$175.07	$312.25	$719.80
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 $152.65 / $162.57 / $289.50	Professional		$152.65	$162.57	$289.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $334.04	Professional		$32.34	$32.34	$334.04
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 $211.75 / $307.89 / $543.13	Professional		$211.75	$307.89	$543.13