Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.13 / $413.13 / $413.13	Facility		$413.13	$413.13	$413.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $413.13 / $560.76	Professional		$291.60	$413.13	$560.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $960.36 / $1,624.76 / $6,915.91	Facility		$960.36	$1,624.76	$6,915.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.09 / $610.87 / $610.87	Professional		$412.09	$610.87	$610.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $704.45	Facility		$400.16	$400.16	$704.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $400.16 / $931.88	Professional		$292.12	$400.16	$931.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $643.02 / $956.74 / $1,184.15	Professional		$643.02	$956.74	$1,184.15
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 $1,044.91 / $1,044.91 / $1,044.91	Professional		$1,044.91	$1,044.91	$1,044.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $424.07 / $605.82 / $636.11	Professional		$424.07	$605.82	$636.11
United Facility/Professional Facility Modifier Low / Median / High Price $803.78 / $1,024.66 / $1,904.15	Facility		$803.78	$1,024.66	$1,904.15
United Facility/Professional Professional Modifier Low / Median / High Price $266.25 / $383.12 / $668.33	Professional		$266.25	$383.12	$668.33