Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $275.39 / $340.20	Facility		$275.39	$275.39	$340.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $302.93	Professional		$275.39	$275.39	$302.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.24 / $327.24 / $327.24	Professional		$327.24	$327.24	$327.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Facility		$302.39	$302.39	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $417.73 / $493.74	Professional		$200.00	$417.73	$493.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $291.86 / $332.10	Professional		$247.34	$291.86	$332.10