Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $5,888.44	Facility		$389.05	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $436.52	Professional		$151.36	$190.55	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,344.23 / $4,570.88	Facility		$870.96	$2,344.23	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $338.84	Professional		$229.09	$295.12	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $380.19	Professional		$177.83	$263.03	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $691.83	Professional		$204.17	$309.03	$691.83
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 $204.17 / $229.09 / $257.04	Professional		$204.17	$229.09	$257.04
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $389.05	Professional		$162.18	$234.42	$389.05