Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,862.09 / $5,623.41	Facility		$93.33	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $120.23	Professional		$43.65	$58.88	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $338.84 / $1,047.13	Facility		$281.84	$338.84	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $100.00	Professional		$63.10	$91.20	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $123.03	Professional		$54.95	$77.62	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $245.47	Professional		$61.66	$95.50	$245.47
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 $63.10 / $67.61 / $72.44	Professional		$63.10	$67.61	$72.44
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 $158.49 / $707.95 / $2,187.76	Facility		$158.49	$707.95	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $120.23	Professional		$53.70	$69.18	$120.23