Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.73 / $762.87 / $762.87	Facility		$676.73	$762.87	$762.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $688.70 / $847.61	Professional		$77.98	$688.70	$847.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.77 / $2,291.35 / $3,179.09	Facility		$803.77	$2,291.35	$3,179.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $630.72 / $630.72	Professional		$276.70	$630.72	$630.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$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 $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $195.21 / $457.18	Professional		$70.05	$195.21	$457.18