Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.52 / $279.52 / $279.52	Facility		$279.52	$279.52	$279.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.22 / $279.52 / $435.07	Professional		$241.22	$279.52	$435.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.30 / $1,100.21 / $4,679.32	Facility		$650.30	$1,100.21	$4,679.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.90 / $413.32 / $413.32	Professional		$339.90	$413.32	$413.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $585.83	Facility		$331.03	$331.03	$585.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $331.03 / $630.38	Professional		$241.65	$331.03	$630.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $462.26 / $652.61 / $815.76	Professional		$462.26	$652.61	$815.76
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 $706.99 / $706.99 / $706.99	Professional		$706.99	$706.99	$706.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $438.60 / $460.53	Professional		$307.02	$438.60	$460.53
United Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $271.31 / $476.39	Professional		$207.05	$271.31	$476.39