Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.92 / $661.73 / $1,182.28	Facility		$352.92	$661.73	$1,182.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $352.92 / $439.38	Professional		$352.92	$352.92	$439.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $107.80 / $1,545.33	Facility		$36.79	$107.80	$1,545.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $125.00 / $345.40	Professional		$54.35	$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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $390.06	Professional		$367.63	$367.63	$390.06