Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $707.95 / $912.01	Facility		$354.81	$707.95	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $436.52	Professional		$354.81	$354.81	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $112.20 / $1,288.25	Facility		$37.15	$112.20	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $199.53 / $346.74	Professional		$54.95	$199.53	$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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $724.44	Facility		$537.03	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $416.87	Professional		$371.54	$407.38	$416.87