Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,621.81 / $5,623.41	Facility		$79.43	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $134.90	Professional		$40.74	$75.86	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $199.53 / $1,000.00	Facility		$158.49	$199.53	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $165.96	Professional		$50.12	$95.50	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $144.54	Professional		$46.77	$81.28	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $114.82 / $288.40	Professional		$56.23	$114.82	$288.40
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 $48.98 / $51.29 / $100.00	Professional		$48.98	$51.29	$100.00
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 $131.83 / $691.83 / $2,187.76	Facility		$131.83	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $131.83	Professional		$45.71	$77.62	$131.83