Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.46 / $446.46 / $446.46	Facility		$446.46	$446.46	$446.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.44 / $446.46 / $595.28	Professional		$307.44	$446.46	$595.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,749.53 / $5,881.36 / $11,777.42	Facility		$2,749.53	$5,881.36	$11,777.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $53.60 / $53.60	Professional		$40.27	$53.60	$53.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $473.76	Facility		$255.74	$255.74	$473.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $255.74 / $840.00	Professional		$62.91	$255.74	$840.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $120.00 / $345.40	Professional		$89.74	$120.00	$345.40
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 $58.82 / $80.40 / $617.55	Professional		$58.82	$80.40	$617.55
United Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $326.68 / $611.54	Professional		$269.69	$326.68	$611.54