Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.32 / $1,055.00 / $5,653.72	Facility		$150.32	$1,055.00	$5,653.72
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.78 / $124.07 / $187.29	Facility	52	$49.78	$124.07	$187.29
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.91 / $49.63 / $74.92	Facility	53	$19.91	$49.63	$74.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $163.47 / $374.58	Professional		$84.31	$163.47	$374.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.24 / $2,340.28 / $5,348.06	Facility		$1,078.24	$2,340.28	$5,348.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.70 / $220.23 / $446.65	Professional		$101.70	$220.23	$446.65
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 $101.86 / $212.91 / $377.36	Professional		$101.86	$212.91	$377.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $293.47 / $733.81	Professional		$118.57	$293.47	$733.81
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 $97.58 / $106.30 / $275.60	Professional		$97.58	$106.30	$275.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $311.64	Professional		$32.34	$32.34	$311.64
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $333.67 / $527.91	Professional		$219.42	$333.67	$527.91