Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.36 / $439.73 / $717.31	Facility		$225.36	$439.73	$717.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $225.36 / $247.35	Professional		$206.12	$225.36	$247.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.55 / $384.76 / $486.44	Facility		$321.55	$384.76	$486.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $657.40 / $1,265.71	Facility		$348.56	$657.40	$1,265.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $334.90 / $401.25	Professional		$329.80	$334.90	$401.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $384.76 / $577.14	Professional		$274.83	$384.76	$577.14
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 $30.00 / $30.00 / $404.00	Professional		$30.00	$30.00	$404.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $274.83	Professional		$115.43	$164.90	$274.83