Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.94 / $692.16 / $1,115.15	Facility		$437.94	$692.16	$1,115.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.92 / $350.35 / $384.53	Professional		$280.92	$350.35	$384.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.89 / $598.16 / $756.25	Facility		$499.89	$598.16	$756.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.49 / $1,043.89 / $1,967.06	Facility		$588.49	$1,043.89	$1,967.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.71 / $520.52 / $623.64	Professional		$512.71	$520.52	$623.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $598.16 / $897.25	Professional		$427.26	$598.16	$897.25
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $581.07 / $581.07 / $640.89	Professional		$581.07	$581.07	$640.89
United Facility/Professional Facility Modifier Low / Median / High Price $512.71 / $512.71 / $512.71	Facility		$512.71	$512.71	$512.71
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $256.36 / $449.05	Professional		$179.45	$256.36	$449.05