Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.11 / $416.25 / $602.42	Facility		$211.11	$416.25	$602.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.24 / $217.44 / $327.22	Professional		$198.24	$217.44	$327.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.70 / $1,373.89 / $3,405.76	Facility		$352.70	$1,373.89	$3,405.76
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 $262.60 / $450.54 / $1,204.85	Professional		$262.60	$450.54	$1,204.85
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 $111.47 / $350.13 / $386.18	Professional		$111.47	$350.13	$386.18
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $167.34 / $300.64	Professional		$108.13	$167.34	$300.64