Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.51 / $744.77 / $1,295.89	Facility		$496.51	$744.77	$1,295.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.51 / $496.74 / $601.76	Professional		$496.51	$496.74	$601.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,337.62 / $2,085.60 / $10,335.20	Facility		$1,337.62	$2,085.60	$10,335.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Facility		$496.74	$496.74	$496.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Professional		$496.74	$496.74	$496.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $422.23 / $567.88 / $1,542.81	Professional		$422.23	$567.88	$1,542.81
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 $645.76 / $645.76 / $645.76	Professional		$645.76	$645.76	$645.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $556.35 / $561.96	Professional		$496.74	$556.35	$561.96