Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.91 / $497.91 / $1,265.33	Facility		$497.91	$497.91	$1,265.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.02 / $497.91 / $749.44	Professional		$328.02	$497.91	$749.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.52 / $1,958.32 / $8,335.28	Facility		$1,157.52	$1,958.32	$8,335.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.67 / $736.24 / $736.24	Professional		$496.67	$736.24	$736.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $814.44	Facility		$454.00	$454.00	$814.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $454.00 / $1,123.13	Professional		$331.42	$454.00	$1,123.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $774.99 / $1,026.18 / $1,263.14	Professional		$774.99	$1,026.18	$1,263.14
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 $1,259.35 / $1,259.35 / $1,259.35	Professional		$1,259.35	$1,259.35	$1,259.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $546.88 / $781.27 / $820.33	Professional		$546.88	$781.27	$820.33
United Facility/Professional Professional Modifier Low / Median / High Price $302.06 / $468.22 / $848.60	Professional		$302.06	$468.22	$848.60