Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $497.33 / $7,407.00	Facility		$228.90	$497.33	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.37 / $234.53 / $409.63	Professional		$132.37	$234.53	$409.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.29 / $1,663.16 / $3,617.13	Facility		$760.29	$1,663.16	$3,617.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.31 / $319.12 / $524.77	Professional		$210.31	$319.12	$524.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.08 / $464.50 / $908.00	Facility		$305.08	$464.50	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $300.70 / $522.22	Professional		$166.13	$300.70	$522.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.89 / $421.78 / $637.02	Professional		$215.89	$421.78	$637.02
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 $220.99 / $226.14 / $414.06	Professional		$220.99	$226.14	$414.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $468.21	Professional		$32.34	$32.34	$468.21
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,905.00 / $4,183.00	Facility		$600.00	$1,905.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $319.81 / $632.35	Professional		$206.78	$319.81	$632.35