Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.96 / $544.91 / $863.09	Facility		$386.96	$544.91	$863.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $386.96 / $411.15	Professional		$386.96	$386.96	$411.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.22 / $2,359.15 / $8,309.95	Facility		$1,180.22	$2,359.15	$8,309.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $461.46	Professional		$411.15	$411.15	$461.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $582.47 / $808.46 / $956.44	Professional		$582.47	$808.46	$956.44
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $427.26 / $448.71	Professional		$403.08	$427.26	$448.71