Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $856.85 / $1,417.52	Facility		$423.14	$856.85	$1,417.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $449.58	Professional		$423.14	$423.14	$449.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,290.56 / $3,014.84 / $9,086.84	Facility		$1,290.56	$3,014.84	$9,086.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $523.98	Professional		$120.00	$345.40	$523.98
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 $528.91 / $534.21 / $603.52	Professional		$528.91	$534.21	$603.52