Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $138.04 / $288.40	Facility		$72.44	$138.04	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $173.78	Professional		$64.57	$87.10	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $616.60 / $1,000.00	Facility		$245.47	$616.60	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $165.96 / $602.56	Facility		$77.62	$165.96	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $190.55	Professional		$79.43	$128.82	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $489.78	Professional		$95.50	$154.88	$489.78
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 $109.65 / $112.20 / $123.03	Professional		$109.65	$112.20	$123.03
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 $109.65 / $446.68 / $1,445.44	Facility		$109.65	$446.68	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $165.96	Professional		$81.28	$114.82	$165.96