Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,995.26 / $7,762.47	Facility		$158.49	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $165.96	Professional		$56.23	$79.43	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,288.25 / $1,548.82	Facility		$630.96	$1,288.25	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $120.23	Professional		$79.43	$104.71	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $181.97	Professional		$69.18	$104.71	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $1,288.25	Professional		$75.86	$131.83	$1,288.25
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 $75.86 / $83.18 / $89.13	Professional		$75.86	$83.18	$89.13
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 $724.44 / $1,479.11 / $3,715.35	Facility		$724.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $194.98	Professional		$58.88	$100.00	$194.98