Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,548.82 / $2,884.03	Facility		$537.03	$1,548.82	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $933.25	Professional		$363.08	$478.63	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,737.80 / $4,570.88	Facility		$346.74	$1,737.80	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $478.63 / $933.25	Professional		$181.97	$478.63	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $812.83	Facility		$263.03	$263.03	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $891.25	Professional		$398.11	$588.84	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $933.25 / $2,951.21	Professional		$446.68	$933.25	$2,951.21
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 $489.78 / $501.19 / $537.03	Professional		$489.78	$501.19	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $199.53 / $630.96	Facility		$186.21	$199.53	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $851.14	Professional		$426.58	$562.34	$851.14