Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $1,207.00 / $5,091.00	Facility		$124.80	$1,207.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $124.80 / $242.00	Professional		$84.05	$124.80	$242.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.12 / $909.03 / $2,114.67	Facility		$262.12	$909.03	$2,114.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $176.32 / $238.45	Professional		$110.97	$176.32	$238.45
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 $98.50 / $152.28 / $230.02	Professional		$98.50	$152.28	$230.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $186.02 / $434.01	Professional		$121.14	$186.02	$434.01
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 $106.65 / $115.36 / $172.50	Professional		$106.65	$115.36	$172.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $199.04	Professional		$32.34	$32.34	$199.04
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 $115.16 / $162.22 / $308.58	Professional		$115.16	$162.22	$308.58