Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $674.83 / $1,116.39	Facility		$333.25	$674.83	$1,116.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $354.08	Professional		$333.25	$333.25	$354.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $874.77 / $4,107.93	Facility		$460.80	$874.77	$4,107.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Facility		$367.96	$367.96	$367.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $756.36	Professional		$100.00	$345.40	$756.36
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 $357.54 / $357.54 / $379.35	Professional		$357.54	$357.54	$379.35