Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.55 / $485.10 / $692.15	Facility		$242.55	$485.10	$692.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.76 / $242.55 / $375.95	Professional		$227.76	$242.55	$375.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.31 / $1,252.68 / $3,912.91	Facility		$399.31	$1,252.68	$3,912.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $204.10 / $227.76	Professional		$3.50	$204.10	$227.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.40 / $723.20 / $1,361.01	Facility		$407.40	$723.20	$1,361.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.29 / $328.95 / $499.04	Professional		$133.29	$328.95	$499.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $517.63 / $1,099.17	Professional		$310.58	$517.63	$1,099.17
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 $384.53 / $384.53 / $384.53	Professional		$384.53	$384.53	$384.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $402.27 / $402.27 / $443.69	Professional		$402.27	$402.27	$443.69
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $296.22	Professional		$124.23	$177.47	$296.22