Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.94 / $673.80 / $944.40	Facility		$330.94	$673.80	$944.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.76 / $330.94 / $512.96	Professional		$310.76	$330.94	$512.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.84 / $1,737.14 / $5,338.85	Facility		$544.84	$1,737.14	$5,338.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $278.48 / $310.76	Professional		$3.50	$278.48	$310.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.78 / $897.13 / $1,858.36	Facility		$467.78	$897.13	$1,858.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.91 / $484.31 / $681.40	Professional		$196.91	$484.31	$681.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $411.66 / $625.07 / $943.61	Professional		$411.66	$625.07	$943.61
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 $524.66 / $524.66 / $524.66	Professional		$524.66	$524.66	$524.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $548.88 / $605.39	Professional		$29.50	$548.88	$605.39
United Facility/Professional Professional Modifier Low / Median / High Price $165.75 / $221.97 / $412.86	Professional		$165.75	$221.97	$412.86