Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.46 / $2,095.00 / $5,393.00	Facility		$380.46	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.90 / $198.58 / $380.46	Professional		$161.90	$198.58	$380.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.52 / $2,531.60 / $5,069.52	Facility		$1,183.52	$2,531.60	$5,069.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.22 / $288.51 / $417.80	Professional		$199.22	$288.51	$417.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $336.60 / $859.46	Professional		$231.53	$336.60	$859.46
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 $222.95 / $250.04 / $277.82	Professional		$222.95	$250.04	$277.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $314.14	Professional		$32.34	$32.34	$314.14
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 $187.32 / $275.08 / $451.33	Professional		$187.32	$275.08	$451.33