Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,479.11	Facility		$478.63	$478.63	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $776.25	Professional		$398.11	$478.63	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $9,120.11	Facility		$1,148.15	$1,513.56	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $707.95	Professional		$524.81	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $616.60	Facility		$501.19	$501.19	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $933.25	Professional		$363.08	$363.08	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,174.90	Professional		$676.08	$933.25	$1,174.90
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 $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $707.95	Professional		$489.78	$489.78	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $741.31 / $1,318.26	Facility		$338.84	$741.31	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $691.83	Professional		$331.13	$467.74	$691.83