Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $870.96	Facility		$616.60	$616.60	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $870.96	Professional		$467.74	$616.60	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $8,128.31 / $15,848.93	Facility		$3,019.95	$8,128.31	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $75.86	Professional		$46.77	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,174.90	Professional		$549.54	$741.31	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $346.74	Professional		$120.23	$177.83	$346.74
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 $104.71 / $104.71 / $1,047.13	Professional		$104.71	$104.71	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $102.33 / $741.31	Facility		$44.67	$102.33	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $758.58	Professional		$53.70	$66.07	$758.58