Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.47 / $174.47 / $174.47	Facility		$174.47	$174.47	$174.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.47 / $264.73 / $299.17	Professional		$174.47	$264.73	$299.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.54 / $776.36 / $1,837.16	Facility		$470.54	$776.36	$1,837.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.44 / $243.44 / $243.44	Professional		$243.44	$243.44	$243.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$345.40
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,088.69 / $1,088.69 / $1,096.77	Facility		$1,088.69	$1,088.69	$1,096.77
United Facility/Professional Professional Modifier Low / Median / High Price $233.90 / $312.06 / $491.76	Professional		$233.90	$312.06	$491.76