Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,412.54 / $1,737.80	Facility		$676.08	$1,412.54	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $851.14	Professional		$676.08	$676.08	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $691.83 / $5,248.07	Facility		$229.09	$691.83	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $446.68	Professional		$102.33	$177.83	$446.68
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $812.83 / $812.83	Facility		$707.95	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $724.44 / $758.58	Professional		$707.95	$724.44	$758.58