Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $281.26 / $477.97	Facility		$236.62	$281.26	$477.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $260.27	Professional		$236.62	$236.62	$260.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.78 / $1,113.96 / $4,030.62	Facility		$484.78	$1,113.96	$4,030.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.37 / $263.37 / $301.00	Professional		$263.37	$263.37	$301.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Facility		$236.62	$236.62	$236.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $271.88	Professional		$236.62	$236.62	$271.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.79 / $295.39 / $504.83	Professional		$230.79	$295.39	$504.83
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 $307.61 / $307.61 / $307.61	Professional		$307.61	$307.61	$307.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $326.37 / $349.68	Professional		$233.12	$326.37	$349.68
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $250.24 / $263.41	Professional		$236.62	$250.24	$263.41