Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $251.78 / $453.20	Facility		$173.64	$251.78	$453.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $238.46 / $250.38	Professional		$173.64	$238.46	$250.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $962.13 / $4,048.53 / $40,219.96	Facility		$962.13	$4,048.53	$40,219.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $326.95 / $369.26	Professional		$304.00	$326.95	$369.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $238.46 / $238.46	Facility		$238.46	$238.46	$238.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $328.23	Professional		$238.46	$238.46	$328.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $333.84 / $5,902.31	Professional		$200.00	$333.84	$5,902.31
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 $310.00 / $310.00 / $310.00	Professional		$310.00	$310.00	$310.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $203.84 / $218.40	Professional		$145.60	$203.84	$218.40
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $252.77 / $281.39	Professional		$238.46	$252.77	$281.39