Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.72 / $250.72 / $250.72	Facility		$250.72	$250.72	$250.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $250.72 / $467.89	Professional		$207.42	$250.72	$467.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.53 / $987.23 / $4,197.16	Facility		$583.53	$987.23	$4,197.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.55 / $370.73 / $370.73	Professional		$321.55	$370.73	$370.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $533.83	Facility		$297.02	$297.02	$533.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $297.02 / $565.50	Professional		$216.82	$297.02	$565.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $414.63 / $567.47 / $699.54	Professional		$414.63	$567.47	$699.54
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 $634.14 / $634.14 / $634.14	Professional		$634.14	$634.14	$634.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $367.67 / $386.05	Professional		$257.36	$367.67	$386.05
United Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $243.36 / $427.30	Professional		$188.28	$243.36	$427.30