Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,621.81 / $5,623.41	Facility		$295.12	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $478.63	Professional		$144.54	$239.88	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $741.31 / $2,290.87	Facility		$398.11	$741.31	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $512.86	Professional		$194.98	$302.00	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $457.09	Professional		$165.96	$275.42	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $933.25	Professional		$204.17	$380.19	$933.25
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 $186.21 / $204.17 / $354.81	Professional		$186.21	$204.17	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $165.96	Professional		$32.36	$32.36	$165.96
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 $158.49 / $245.47 / $426.58	Professional		$158.49	$245.47	$426.58