Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.65 / $1,630.00 / $5,389.00	Facility		$354.65	$1,630.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $207.30 / $354.65	Professional		$180.71	$207.30	$354.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,276.79 / $2,731.12 / $5,469.06	Facility		$1,276.79	$2,731.12	$5,469.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.29 / $346.86 / $383.60	Professional		$214.29	$346.86	$383.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.04 / $264.61 / $411.98	Professional		$180.04	$264.61	$411.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $324.92 / $846.69	Professional		$216.59	$324.92	$846.69
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 $218.75 / $234.66 / $254.81	Professional		$218.75	$234.66	$254.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $288.13	Professional		$32.34	$32.34	$288.13
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $253.83 / $427.45	Professional		$194.52	$253.83	$427.45