Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $549.54 / $912.01	Facility		$295.12	$549.54	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $575.44	Professional		$263.03	$323.59	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $851.14 / $4,073.80	Facility		$346.74	$851.14	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $645.65 / $1,513.56	Facility		$263.03	$645.65	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $398.11 / $616.60	Professional		$158.49	$398.11	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $1,548.82	Professional		$213.80	$426.58	$1,548.82
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 $354.81 / $363.08 / $389.05	Professional		$354.81	$363.08	$389.05
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 $354.81 / $446.68 / $1,445.44	Facility		$354.81	$446.68	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $630.96	Professional		$208.93	$380.19	$630.96