Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.27 / $834.54 / $1,190.76	Facility		$417.27	$834.54	$1,190.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.92 / $474.28 / $605.55	Professional		$396.92	$474.28	$605.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.15 / $2,906.52 / $8,932.74	Facility		$697.15	$2,906.52	$8,932.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $351.12 / $519.95	Professional		$3.50	$351.12	$519.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.61 / $1,131.44 / $2,342.31	Facility		$645.61	$1,131.44	$2,342.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.42 / $571.47 / $858.85	Professional		$230.42	$571.47	$858.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $519.04 / $698.22 / $921.05	Professional		$519.04	$698.22	$921.05
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 $661.53 / $661.53 / $661.53	Professional		$661.53	$661.53	$661.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $692.06 / $763.31	Professional		$320.58	$692.06	$763.31
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $305.32 / $524.14	Professional		$213.73	$305.32	$524.14