Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.52 / $1,207.00 / $4,634.00	Facility		$150.52	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $136.65 / $234.08	Professional		$80.98	$136.65	$234.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.29 / $1,133.92 / $2,269.44	Facility		$592.29	$1,133.92	$2,269.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $167.38 / $273.73	Professional		$96.73	$167.38	$273.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $154.38 / $247.06	Professional		$100.19	$154.38	$247.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.75 / $201.66 / $512.64	Professional		$111.75	$201.66	$512.64
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 $94.81 / $100.19 / $180.44	Professional		$94.81	$100.19	$180.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $208.20	Professional		$32.34	$32.34	$208.20
United Facility/Professional Facility Modifier Low / Median / High Price $556.62 / $1,481.00 / $4,256.00	Facility		$556.62	$1,481.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $196.59 / $332.09	Professional		$129.12	$196.59	$332.09