Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.41 / $439.98 / $1,006.23	Facility		$221.41	$439.98	$1,006.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.24 / $221.41 / $327.22	Professional		$198.24	$221.41	$327.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.43 / $734.44 / $3,049.41	Facility		$360.43	$734.44	$3,049.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $177.64 / $198.24	Professional		$3.50	$177.64	$198.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.54 / $629.40 / $1,185.30	Facility		$326.54	$629.40	$1,185.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $313.45 / $492.56	Professional		$131.69	$313.45	$492.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $283.20 / $485.58 / $852.56	Professional		$283.20	$485.58	$852.56
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 $334.69 / $334.69 / $334.69	Professional		$334.69	$334.69	$334.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $189.23 / $386.18	Professional		$88.22	$189.23	$386.18
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $174.81 / $359.69	Professional		$108.13	$174.81	$359.69