Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,090.30 / $8,511.38	Facility		$223.87	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $295.12	Professional		$107.15	$138.04	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,778.28 / $3,388.44	Facility		$660.69	$1,778.28	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $251.19	Professional		$173.78	$229.09	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $295.12	Professional		$138.04	$204.17	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $645.65	Professional		$144.54	$234.42	$645.65
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 $134.90 / $169.82 / $194.98	Professional		$134.90	$169.82	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $302.00	Professional		$131.83	$181.97	$302.00