Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $350.00 / $522.00	Facility		$164.00	$350.00	$522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $170.00 / $370.00	Professional		$156.00	$170.00	$370.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $860.86 / $2,645.72	Facility		$270.00	$860.86	$2,645.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $138.00 / $154.00	Professional		$3.50	$138.00	$154.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.47 / $450.87 / $920.25	Facility		$275.47	$450.87	$920.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $276.07 / $337.42	Professional		$102.25	$276.07	$337.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $320.00 / $505.37	Professional		$210.00	$320.00	$505.37
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 $260.00 / $260.00 / $260.00	Professional		$260.00	$260.00	$260.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $272.00 / $300.00	Professional		$22.99	$272.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $200.00	Professional		$84.00	$120.00	$200.00