Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $451.92 / $451.92	Facility		$58.48	$451.92	$451.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.56 / $451.92 / $582.07	Professional		$406.56	$451.92	$582.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.80 / $1,741.26 / $6,282.16	Facility		$964.80	$1,741.26	$6,282.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.49 / $597.53 / $775.94	Professional		$435.49	$597.53	$775.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.40 / $500.92 / $903.87	Professional		$344.40	$500.92	$903.87
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 $403.42 / $407.02 / $437.62	Professional		$403.42	$407.02	$437.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.75 / $606.51 / $914.65	Professional		$436.75	$606.51	$914.65