Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $891.58 / $4,634.00	Facility		$94.45	$891.58	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $94.45 / $171.77	Professional		$44.96	$94.45	$171.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.49 / $915.01 / $1,283.52	Facility		$291.49	$915.01	$1,283.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $109.01 / $184.25	Professional		$56.42	$109.01	$184.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $108.12 / $195.65	Professional		$54.59	$108.12	$195.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $146.96 / $345.85	Professional		$68.00	$146.96	$345.85
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 $57.07 / $60.79 / $136.46	Professional		$57.07	$60.79	$136.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $157.46	Professional		$32.34	$32.34	$157.46
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $149.84 / $282.92	Professional		$109.50	$149.84	$282.92