Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,174.90 / $5,623.41	Facility		$338.84	$1,174.90	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $616.60	Professional		$204.17	$269.15	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $5,011.87	Facility		$316.23	$426.58	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $501.19	Professional		$281.84	$389.05	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $501.19	Professional		$234.42	$338.84	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $1,000.00	Professional		$263.03	$407.38	$1,000.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $346.74	Professional		$281.84	$295.12	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $489.78	Professional		$213.80	$281.84	$489.78