Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.75 / $319.02 / $569.14	Facility		$187.75	$319.02	$569.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $180.99 / $209.89	Professional		$167.91	$180.99	$209.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.96 / $294.38 / $2,283.57	Facility		$219.96	$294.38	$2,283.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $167.91 / $167.91	Professional		$3.50	$167.91	$167.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.35 / $793.78 / $1,003.63	Facility		$300.35	$793.78	$1,003.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $250.69 / $318.38	Professional		$99.42	$250.69	$318.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $328.96 / $1,116.79	Professional		$200.00	$328.96	$1,116.79
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 $283.48 / $283.48 / $283.48	Professional		$283.48	$283.48	$283.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $119.93 / $218.06	Professional		$109.03	$119.93	$218.06
United Facility/Professional Facility Modifier Low / Median / High Price $149.81 / $218.06 / $261.67	Facility		$149.81	$218.06	$261.67
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $312.72	Professional		$91.59	$130.84	$312.72