Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.91 / $788.80 / $1,269.09	Facility		$685.91	$788.80	$1,269.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.91 / $686.00 / $754.50	Professional		$685.91	$686.00	$754.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,382.15 / $2,106.39 / $10,045.45	Facility		$1,382.15	$2,106.39	$10,045.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Facility		$686.00	$686.00	$686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $781.98	Professional		$686.00	$686.00	$781.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $583.10 / $720.30 / $1,029.00	Professional		$583.10	$720.30	$1,029.00
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 $891.80 / $891.80 / $891.80	Professional		$891.80	$891.80	$891.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $943.49	Professional		$30.00	$30.00	$943.49
United Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $1,543.50	Facility		$686.00	$686.00	$1,543.50
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $720.30 / $763.66	Professional		$686.00	$720.30	$763.66