Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,544.00 / $5,389.00	Facility		$438.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $58.06 / $81.67	Professional		$51.19	$58.06	$81.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.18 / $2,115.44 / $2,702.21	Facility		$897.18	$2,115.44	$2,702.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $480.00 / $1,279.13	Facility		$62.14	$480.00	$1,279.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $81.01 / $134.80	Professional		$53.41	$81.01	$134.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $75.17 / $403.15	Professional		$51.68	$75.17	$403.15
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 $54.56 / $55.80 / $61.07	Professional		$54.56	$55.80	$61.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $71.59 / $2,500.00	Professional		$69.67	$71.59	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $75.58 / $126.28	Professional		$54.45	$75.58	$126.28