Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $193.07 / $3,123.00	Facility		$41.58	$193.07	$3,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $49.11 / $116.99	Professional		$26.31	$49.11	$116.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $334.67 / $729.97	Facility		$170.64	$334.67	$729.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $53.12 / $89.64	Professional		$30.55	$53.12	$89.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $51.26 / $86.17	Professional		$29.14	$51.26	$86.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $66.44 / $284.14	Professional		$35.47	$66.44	$284.14
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 $29.51 / $31.80 / $58.96	Professional		$29.51	$31.80	$58.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.03	Professional		$32.34	$32.34	$68.03
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $77.37 / $114.36	Professional		$47.44	$77.37	$114.36