Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.04 / $1,272.00 / $5,430.00	Facility		$209.04	$1,272.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $115.81 / $209.04	Professional		$98.16	$115.81	$209.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.30 / $1,269.35 / $2,541.89	Facility		$582.30	$1,269.35	$2,541.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $587.00 / $908.00	Facility		$120.98	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $162.41 / $231.85	Professional		$110.35	$162.41	$231.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $182.88 / $506.76	Professional		$121.98	$182.88	$506.76
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 $118.34 / $139.04 / $156.40	Professional		$118.34	$139.04	$156.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $176.86	Professional		$32.34	$32.34	$176.86
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $146.58 / $263.92	Professional		$104.41	$146.58	$263.92