Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $149.69 / $4,500.00	Facility		$74.09	$149.69	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $73.17 / $139.33	Professional		$50.18	$73.17	$139.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.36 / $514.49 / $1,122.18	Facility		$177.36	$514.49	$1,122.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $102.30 / $137.22	Professional		$55.81	$102.30	$137.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $81.19 / $132.91	Professional		$53.17	$81.19	$132.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $94.78 / $218.19	Professional		$54.16	$94.78	$218.19
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 $60.02 / $60.66 / $88.01	Professional		$60.02	$60.66	$88.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $101.55	Professional		$32.34	$32.34	$101.55
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $91.61 / $156.34	Professional		$67.98	$91.61	$156.34