Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $1,609.00 / $5,549.00	Facility		$78.09	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $78.09 / $126.29	Professional		$65.90	$78.09	$126.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.50 / $1,098.40 / $2,199.54	Facility		$513.50	$1,098.40	$2,199.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $145.38 / $149.34	Professional		$79.23	$145.38	$149.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $101.25 / $145.12	Professional		$71.92	$101.25	$145.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $110.42 / $435.62	Professional		$75.91	$110.42	$435.62
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 $80.78 / $84.24 / $89.71	Professional		$80.78	$84.24	$89.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $101.44	Professional		$32.34	$32.34	$101.44
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $105.41 / $171.07	Professional		$67.93	$105.41	$171.07