Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,862.09 / $7,762.47	Facility		$338.84	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $281.84 / $602.56	Professional		$81.28	$281.84	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $1,513.56	Facility		$275.42	$371.54	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $275.42 / $537.03	Professional		$104.71	$275.42	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $257.04 / $588.84	Facility		$223.87	$257.04	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $269.15 / $588.84	Professional		$93.33	$269.15	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $549.54 / $2,089.30	Professional		$125.89	$549.54	$2,089.30
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 $100.00 / $112.20 / $426.58	Professional		$100.00	$112.20	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $691.83 / $2,187.76	Facility		$165.96	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $275.42 / $588.84	Professional		$89.13	$275.42	$588.84