Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.92 / $307.92 / $307.92	Facility		$307.92	$307.92	$307.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $307.92 / $478.92	Professional		$220.01	$307.92	$478.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.50 / $1,210.50 / $5,154.68	Facility		$715.50	$1,210.50	$5,154.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.40 / $455.31 / $455.31	Professional		$336.40	$455.31	$455.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $601.92	Facility		$387.54	$387.54	$601.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $387.54 / $694.50	Professional		$282.89	$387.54	$694.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $483.25 / $629.04 / $773.47	Professional		$483.25	$629.04	$773.47
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 $778.82 / $778.82 / $778.82	Professional		$778.82	$778.82	$778.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.19 / $483.13 / $507.28	Professional		$338.19	$483.13	$507.28
United Facility/Professional Professional Modifier Low / Median / High Price $199.25 / $296.20 / $500.38	Professional		$199.25	$296.20	$500.38