Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.61 / $190.61 / $377.60	Facility		$190.61	$190.61	$377.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $300.73 / $397.85	Professional		$190.61	$300.73	$397.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.07 / $758.87 / $979.00	Facility		$636.07	$758.87	$979.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.23 / $775.72 / $1,484.21	Facility		$692.23	$775.72	$1,484.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $267.08 / $445.23	Professional		$263.83	$267.08	$445.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$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 Professional Modifier Low / Median / High Price $331.53 / $428.14 / $664.25	Professional		$331.53	$428.14	$664.25