Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $1,137.50 / $4,944.00	Facility		$142.54	$1,137.50	$4,944.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $118.62 / $213.81	Professional		$81.20	$118.62	$213.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $946.17 / $2,170.36 / $8,387.73	Facility		$946.17	$2,170.36	$8,387.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $178.17 / $276.06	Professional		$112.80	$178.17	$276.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $159.01 / $247.19	Professional		$99.54	$159.01	$247.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $215.36 / $431.38	Professional		$125.00	$215.36	$431.38
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 $112.14 / $116.57 / $200.84	Professional		$112.14	$116.57	$200.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $231.74	Professional		$32.34	$32.34	$231.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,272.00 / $9,762.00	Facility		$1,152.00	$5,272.00	$9,762.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $167.84 / $317.45	Professional		$102.54	$167.84	$317.45