Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,862.09 / $5,888.44	Facility		$380.19	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $354.81 / $660.69	Professional		$162.18	$354.81	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,047.13 / $3,890.45	Facility		$851.14	$1,047.13	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $794.33	Professional		$380.19	$380.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $660.69	Professional		$177.83	$363.08	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $501.19 / $1,202.26	Professional		$208.93	$501.19	$1,202.26
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 $194.98 / $208.93 / $478.63	Professional		$194.98	$208.93	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,479.11 / $3,801.89	Facility		$562.34	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $724.44	Professional		$181.97	$380.19	$724.44