Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $512.86	Facility		$194.98	$295.12	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Professional		$194.98	$194.98	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $602.56 / $3,311.31	Facility		$295.12	$602.56	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $229.09	Professional		$204.17	$204.17	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $478.63	Professional		$190.55	$346.74	$478.63
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 $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $288.40	Professional		$245.47	$269.15	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $309.03	Facility		$190.55	$190.55	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $218.78	Professional		$190.55	$204.17	$218.78