Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.23 / $800.00 / $5,389.00	Facility		$112.23	$800.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $133.41 / $252.30	Professional		$60.05	$133.41	$252.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.46 / $1,331.51 / $2,753.02	Facility		$372.46	$1,331.51	$2,753.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $161.49 / $293.77	Professional		$77.41	$161.49	$293.77
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 $71.29 / $160.03 / $297.98	Professional		$71.29	$160.03	$297.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $220.59 / $593.39	Professional		$93.30	$220.59	$593.39
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 $80.42 / $83.50 / $206.41	Professional		$80.42	$83.50	$206.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.17	Professional		$32.34	$32.34	$238.17
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $232.58 / $355.29	Professional		$152.68	$232.58	$355.29