Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.35 / $1,169.00 / $4,634.00	Facility		$181.35	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $226.90 / $461.15	Professional		$91.92	$226.90	$461.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.97 / $1,907.91 / $4,602.53	Facility		$650.97	$1,907.91	$4,602.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $323.25 / $542.01	Professional		$117.18	$323.25	$542.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $480.00 / $2,720.17	Facility		$162.66	$480.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $221.16 / $550.04	Professional		$113.19	$221.16	$550.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $431.29 / $971.06	Professional		$133.85	$431.29	$971.06
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 $108.75 / $124.07 / $431.29	Professional		$108.75	$124.07	$431.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $487.69	Professional		$32.34	$32.34	$487.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,296.00	Facility		$1,282.00	$3,751.00	$6,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.32 / $380.73 / $676.66	Professional		$278.32	$380.73	$676.66