Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $338.84 / $891.25	Facility		$72.44	$338.84	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $309.03	Professional		$245.47	$251.19	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $676.08 / $3,801.89	Facility		$263.03	$676.08	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $549.54	Professional		$239.88	$346.74	$549.54
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 $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
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 $257.04 / $446.68 / $446.68	Facility		$257.04	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $281.84	Professional		$263.03	$263.03	$281.84