Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,090.30 / $8,511.38	Facility		$218.78	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $245.47	Professional		$102.33	$120.23	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,348.96 / $2,570.40	Facility		$501.19	$1,348.96	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $208.93	Professional		$138.04	$165.96	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $257.04	Professional		$112.20	$165.96	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $676.08	Professional		$125.89	$223.87	$676.08
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 $125.89 / $147.91 / $165.96	Professional		$125.89	$147.91	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,818.38 / $7,413.10	Facility		$562.34	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $239.88	Professional		$107.15	$144.54	$239.88