Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.80 / $364.12 / $364.12	Facility		$277.80	$364.12	$364.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.16 / $364.12 / $413.33	Professional		$254.16	$364.12	$413.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.85 / $287.76 / $833.23	Facility		$135.85	$287.76	$833.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.43 / $143.68 / $434.61	Facility		$94.43	$143.68	$434.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $86.72 / $157.30	Professional		$56.39	$86.72	$157.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $356.51 / $561.34	Professional		$159.22	$356.51	$561.34
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 $300.39 / $308.50 / $364.87	Professional		$300.39	$308.50	$364.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $32.34 / $2,500.00	Professional		$20.30	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $447.92 / $716.27	Professional		$122.83	$447.92	$716.27