Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.98 / $1,379.00 / $5,389.00	Facility		$238.98	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $138.61 / $241.38	Professional		$123.45	$138.61	$241.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.64 / $2,147.92 / $3,270.96	Facility		$966.64	$2,147.92	$3,270.96
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 $129.10 / $194.41 / $299.25	Professional		$129.10	$194.41	$299.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.09 / $217.64 / $590.79	Professional		$145.09	$217.64	$590.79
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 $147.75 / $157.96 / $171.47	Professional		$147.75	$157.96	$171.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $197.85	Professional		$32.34	$32.34	$197.85
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.86 / $189.17 / $341.52	Professional		$134.86	$189.17	$341.52