Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.13 / $211.34 / $293.18	Facility		$185.13	$211.34	$293.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $211.34 / $285.31	Professional		$196.29	$211.34	$285.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.09 / $1,775.60 / $3,555.63	Facility		$830.09	$1,775.60	$3,555.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $251.12 / $251.12	Professional		$251.12	$251.12	$251.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Facility		$232.20	$232.20	$232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.94 / $265.41 / $383.22	Professional		$193.94	$265.41	$383.22
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 $140.30 / $140.30 / $208.11	Professional		$140.30	$140.30	$208.11
United Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $410.24 / $410.24	Facility		$303.33	$410.24	$410.24
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $248.58 / $254.85	Professional		$207.32	$248.58	$254.85