Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.42 / $173.42 / $173.42	Facility		$173.42	$173.42	$173.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $176.63 / $269.92	Professional		$167.33	$176.63	$269.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.86 / $683.26 / $2,903.06	Facility		$403.86	$683.26	$2,903.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $371.14	Facility		$218.27	$218.27	$371.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $391.13	Professional		$159.34	$218.27	$391.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $286.79 / $382.58 / $470.92	Professional		$286.79	$382.58	$470.92
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 $438.62 / $438.62 / $438.62	Professional		$438.62	$438.62	$438.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.01 / $254.30 / $267.01	Professional		$178.01	$254.30	$267.01
United Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $168.32 / $289.83	Professional		$140.27	$168.32	$289.83