Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $1,159.00 / $5,430.00	Facility		$17.98	$1,159.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $64.27 / $142.24	Professional		$14.33	$64.27	$142.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.79 / $242.82 / $504.13	Facility		$140.79	$242.82	$504.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $81.65 / $159.35	Professional		$17.39	$81.65	$159.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $88.09	Professional		$88.09	$88.09	$88.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $99.40 / $212.80	Professional		$14.99	$99.40	$212.80
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 $16.55 / $18.63 / $129.22	Professional		$16.55	$18.63	$129.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.10	Professional		$32.34	$32.34	$149.10
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $122.36 / $217.64	Professional		$86.54	$122.36	$217.64