Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.46 / $206.46 / $206.46	Facility		$206.46	$206.46	$206.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $210.29 / $323.19	Professional		$189.86	$210.29	$323.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.18 / $812.38 / $3,456.25	Facility		$480.18	$812.38	$3,456.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $305.27 / $305.27	Professional		$266.75	$305.27	$305.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $559.77	Facility		$251.00	$251.00	$559.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $251.00 / $465.75	Professional		$183.23	$251.00	$465.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $341.44 / $472.75 / $568.05	Professional		$341.44	$472.75	$568.05
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 $522.20 / $522.20 / $522.20	Professional		$522.20	$522.20	$522.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $211.93 / $302.76 / $317.89	Professional		$211.93	$302.76	$317.89
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $200.40 / $345.06	Professional		$167.00	$200.40	$345.06