Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.61 / $668.18 / $1,063.39	Facility		$417.61	$668.18	$1,063.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $267.89 / $305.57	Professional		$267.89	$267.89	$305.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.69 / $570.40 / $721.15	Facility		$476.69	$570.40	$721.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.82 / $996.13 / $1,876.23	Facility		$516.82	$996.13	$1,876.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $496.44 / $594.79	Professional		$488.92	$496.44	$594.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $570.40 / $855.60	Professional		$407.43	$570.40	$855.60
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 $554.10 / $554.10 / $611.15	Professional		$554.10	$554.10	$611.15
United Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $244.46 / $407.43	Professional		$171.12	$244.46	$407.43