Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $524.81 / $1,047.13	Facility		$309.03	$524.81	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $758.58	Professional		$309.03	$309.03	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $12,302.69	Facility		$1,096.48	$1,949.84	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $724.44	Professional		$630.96	$630.96	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $436.52	Professional		$309.03	$309.03	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $2,454.71 / $3,981.07	Professional		$263.03	$2,454.71	$3,981.07
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 $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $501.19	Professional		$338.84	$457.09	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $331.13 / $478.63	Facility		$309.03	$331.13	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $346.74	Professional		$309.03	$323.59	$346.74