Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.35 / $2,989.00 / $7,407.00	Facility		$206.35	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $206.35 / $292.52	Professional		$137.97	$206.35	$292.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.22 / $192.22 / $263.02	Professional		$192.22	$192.22	$263.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $291.29 / $384.08	Professional		$214.58	$291.29	$384.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.31 / $295.07 / $2,501.80	Professional		$186.31	$295.07	$2,501.80
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 $219.19 / $219.19 / $219.19	Professional		$219.19	$219.19	$219.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $229.76 / $397.43	Professional		$154.55	$229.76	$397.43