Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $282.51 / $891.59	Facility		$144.13	$282.51	$891.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $228.67 / $288.95	Professional		$144.13	$228.67	$288.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.22 / $1,340.89 / $1,710.32	Facility		$953.22	$1,340.89	$1,710.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $587.00 / $1,359.02	Facility		$287.45	$587.00	$1,359.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $296.32 / $1,202.06	Professional		$1.32	$296.32	$1,202.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.81 / $346.48 / $551.54	Professional		$248.81	$346.48	$551.54