Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $363.08	Facility		$251.19	$251.19	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $575.44	Professional		$181.97	$316.23	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $9,120.11	Facility		$2,290.87	$3,311.31	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $1,000.00	Professional		$120.23	$199.53	$1,000.00
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 $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $4,365.16	Facility		$676.08	$691.83	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $724.44	Professional		$676.08	$676.08	$724.44