Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,989.00 / $2,989.00 / $3,636.00	Facility		$2,989.00	$2,989.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $112.87 / $188.88	Professional		$71.05	$112.87	$188.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $127.20 / $195.33	Professional		$82.07	$127.20	$195.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $121.98 / $207.53	Professional		$78.78	$121.98	$207.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $175.68 / $367.63	Professional		$95.82	$175.68	$367.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $158.56 / $174.89	Professional		$30.00	$158.56	$174.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $3,466.00 / $3,813.00	Facility		$3,190.00	$3,466.00	$3,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $156.47 / $247.48	Professional		$114.04	$156.47	$247.48