Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $512.86 / $851.14	Facility		$275.42	$512.86	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $537.03	Professional		$234.42	$281.84	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,862.09 / $3,801.89	Facility		$794.33	$1,862.09	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $131.83 / $616.60	Professional		$57.54	$131.83	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $562.34 / $2,041.74	Facility		$229.09	$562.34	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $660.69	Professional		$234.42	$380.19	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $1,445.44	Professional		$257.04	$407.38	$1,445.44
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 $331.13 / $338.84 / $363.08	Professional		$331.13	$338.84	$363.08
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 $331.13 / $1,096.48 / $3,467.37	Facility		$331.13	$1,096.48	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $588.84	Professional		$281.84	$398.11	$588.84