Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $426.58	Facility		$213.80	$213.80	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $380.19	Professional		$177.83	$213.80	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $2,884.03	Facility		$501.19	$812.83	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $316.23	Professional		$269.15	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $467.74	Facility		$234.42	$234.42	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $457.09	Professional		$169.82	$169.82	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $549.54	Professional		$354.81	$446.68	$549.54
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 $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $275.42	Professional		$190.55	$190.55	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $331.13 / $602.56	Facility		$158.49	$331.13	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $323.59	Professional		$154.88	$208.93	$323.59