Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,548.82 / $5,623.41	Facility		$223.87	$1,548.82	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $389.05	Professional		$123.03	$194.98	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $2,398.83	Facility		$575.44	$691.83	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $346.74	Professional		$147.91	$218.78	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,000.00	Facility		$302.00	$302.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $398.11	Professional		$131.83	$213.80	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $707.95	Professional		$165.96	$323.59	$707.95
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 $147.91 / $158.49 / $275.42	Professional		$147.91	$158.49	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $741.31 / $2,187.76	Facility		$165.96	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $338.84	Professional		$128.82	$199.53	$338.84