Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.73 / $475.20 / $2,533.76	Facility		$288.73	$475.20	$2,533.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.02 / $355.61 / $670.75	Professional		$239.02	$355.61	$670.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,612.68 / $3,449.60 / $6,907.82	Facility		$1,612.68	$3,449.60	$6,907.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.92 / $630.92 / $771.81	Professional		$630.92	$630.92	$771.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Facility		$440.51	$440.51	$440.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Professional		$440.51	$440.51	$440.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $452.75 / $612.54 / $905.51	Professional		$452.75	$612.54	$905.51
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 $692.45 / $692.45 / $692.45	Professional		$692.45	$692.45	$692.45
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 $520.75 / $520.75 / $570.91	Professional		$520.75	$520.75	$570.91