Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $457.09 / $741.31	Facility		$245.47	$457.09	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $478.63	Professional		$213.80	$269.15	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $3,235.94	Facility		$467.74	$794.33	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $1,148.15	Facility		$208.93	$524.81	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $562.34	Professional		$199.53	$331.13	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $1,288.25	Professional		$223.87	$354.81	$1,288.25
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 $288.40 / $302.00 / $323.59	Professional		$288.40	$302.00	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $338.84 / $1,071.52	Facility		$295.12	$338.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $537.03	Professional		$245.47	$354.81	$537.03