Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.85 / $857.21 / $1,693.71	Facility		$515.85	$857.21	$1,693.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.29 / $515.85 / $857.21	Professional		$450.29	$515.85	$857.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.42 / $1,288.50 / $3,539.53	Facility		$486.42	$1,288.50	$3,539.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.66 / $652.86 / $2,056.32	Facility		$350.66	$652.86	$2,056.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.76 / $719.18 / $1,089.55	Professional		$462.76	$719.18	$1,089.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $558.88 / $846.86 / $2,053.27	Professional		$558.88	$846.86	$2,053.27
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 $673.62 / $680.34 / $733.94	Professional		$673.62	$680.34	$733.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $349.57 / $767.82	Professional		$32.34	$349.57	$767.82
United Facility/Professional Professional Modifier Low / Median / High Price $501.62 / $636.23 / $1,043.28	Professional		$501.62	$636.23	$1,043.28