Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.08 / $735.00 / $2,989.00	Facility		$175.08	$735.00	$2,989.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $170.95 / $427.50	Professional		$110.62	$170.95	$427.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.17 / $1,388.89 / $3,029.36	Facility		$406.17	$1,388.89	$3,029.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $213.44 / $287.86	Professional		$164.72	$213.44	$287.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $148.94 / $908.00	Facility		$133.41	$148.94	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $210.59 / $305.33	Professional		$139.38	$210.59	$305.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.57 / $248.54 / $773.38	Professional		$165.57	$248.54	$773.38
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 $136.06 / $161.55 / $223.00	Professional		$136.06	$161.55	$223.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $252.16	Professional		$32.34	$32.34	$252.16
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $218.74 / $343.48	Professional		$143.82	$218.74	$343.48