Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.08 / $1,159.00 / $5,091.00	Facility		$207.08	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $212.53 / $447.42	Professional		$94.22	$212.53	$447.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.88 / $1,043.01 / $2,426.35	Facility		$502.88	$1,043.01	$2,426.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $242.74 / $478.69	Professional		$128.66	$242.74	$478.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $379.82 / $807.70	Professional		$144.40	$379.82	$807.70
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 $124.77 / $130.27 / $365.76	Professional		$124.77	$130.27	$365.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $422.03	Professional		$32.34	$32.34	$422.03
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,685.00	Facility		$165.00	$900.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.66 / $404.45 / $610.63	Professional		$278.66	$404.45	$610.63