Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $297.33 / $308.55	Facility		$280.50	$297.33	$308.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $297.33 / $297.33	Professional		$280.50	$297.33	$297.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,271.22 / $2,719.20 / $5,445.19	Facility		$1,271.22	$2,719.20	$5,445.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.30 / $333.30 / $333.30	Professional		$333.30	$333.30	$333.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Facility		$326.48	$326.48	$326.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $378.71 / $442.59	Professional		$200.00	$378.71	$442.59
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 Professional Modifier Low / Median / High Price $300.25 / $349.80 / $360.30	Professional		$300.25	$349.80	$360.30