Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $737.52 / $1,053.50	Facility		$291.20	$737.52	$1,053.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.14 / $220.19 / $383.60	Professional		$191.14	$220.19	$383.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.05 / $687.01 / $3,849.77	Facility		$294.05	$687.01	$3,849.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.12 / $364.44 / $528.44	Professional		$303.12	$364.44	$528.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.45 / $482.28 / $2,193.08	Facility		$296.45	$482.28	$2,193.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $310.83 / $516.91	Professional		$201.98	$310.83	$516.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.21 / $323.86 / $686.79	Professional		$191.21	$323.86	$686.79
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 $258.67 / $270.97 / $290.36	Professional		$258.67	$270.97	$290.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.07 / $311.37 / $640.66	Professional		$192.07	$311.37	$640.66