Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.77 / $644.49 / $4,402.05	Facility		$239.77	$644.49	$4,402.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $240.98 / $408.56	Professional		$143.96	$240.98	$408.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.02 / $2,711.97 / $4,034.32	Facility		$1,310.02	$2,711.97	$4,034.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $295.97 / $479.21	Professional		$169.83	$295.97	$479.21
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 $176.49 / $274.42 / $425.85	Professional		$176.49	$274.42	$425.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.43 / $346.97 / $952.42	Professional		$191.43	$346.97	$952.42
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 $166.67 / $177.16 / $314.45	Professional		$166.67	$177.16	$314.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $362.84	Professional		$32.34	$32.34	$362.84
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.69 / $359.20 / $546.34	Professional		$244.69	$359.20	$546.34