Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $546.35 / $1,263.39	Facility		$359.09	$546.35	$1,263.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.09 / $359.19 / $441.28	Professional		$359.09	$359.19	$441.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $909.73 / $1,418.44 / $7,029.08	Facility		$909.73	$1,418.44	$7,029.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Facility		$359.19	$359.19	$359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $305.31 / $432.45 / $707.63	Professional		$305.31	$432.45	$707.63
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $466.95 / $466.95 / $466.95	Professional		$466.95	$466.95	$466.95
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 Facility Modifier Low / Median / High Price $358.96 / $358.96 / $358.96	Facility		$358.96	$358.96	$358.96
United Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $389.21	Professional		$359.19	$359.19	$389.21