Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.22 / $1,451.00 / $5,389.00	Facility		$141.22	$1,451.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $83.64 / $143.82	Professional		$74.03	$83.64	$143.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $848.41 / $1,841.45 / $4,863.03	Facility		$848.41	$1,841.45	$4,863.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $139.08 / $153.51	Professional		$85.75	$139.08	$153.51
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 $74.68 / $116.18 / $227.62	Professional		$74.68	$116.18	$227.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $130.03 / $720.62	Professional		$86.45	$130.03	$720.62
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 $88.30 / $93.91 / $102.17	Professional		$88.30	$93.91	$102.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $117.89	Professional		$32.34	$32.34	$117.89
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $110.57 / $203.94	Professional		$78.52	$110.57	$203.94