Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,884.03 / $7,762.47	Facility		$446.68	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $398.11	Professional		$181.97	$213.80	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,168.69 / $5,623.41	Facility		$1,905.46	$4,168.69	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $338.84	Professional		$223.87	$269.15	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $2,691.53	Facility		$446.68	$588.84	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $426.58	Professional		$190.55	$269.15	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $831.76	Professional		$213.80	$354.81	$831.76
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 $234.42 / $245.47 / $269.15	Professional		$234.42	$245.47	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $245.47	Professional		$25.70	$33.11	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,467.37 / $7,585.78	Facility		$1,023.29	$3,467.37	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $389.05	Professional		$177.83	$234.42	$389.05