Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $926.21 / $1,755.47	Facility		$524.02	$926.21	$1,755.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.02 / $529.26 / $726.83	Professional		$524.02	$529.26	$726.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,443.21 / $3,213.43 / $10,161.62	Facility		$1,443.21	$3,213.43	$10,161.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Facility		$529.26	$529.26	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $449.87 / $1,172.59 / $1,518.00	Professional		$449.87	$1,172.59	$1,518.00
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 $688.04 / $688.04 / $688.04	Professional		$688.04	$688.04	$688.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $550.13 / $564.22 / $565.40	Professional		$550.13	$564.22	$565.40
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $1,173.00	Professional		$529.26	$529.26	$1,173.00