Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $380.19	Facility		$194.98	$194.98	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $331.13	Professional		$162.18	$194.98	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $724.44 / $2,630.27	Facility		$457.09	$724.44	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $288.40	Professional		$251.19	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $251.19	Facility		$245.47	$245.47	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $389.05	Professional		$177.83	$177.83	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $489.78	Professional		$302.00	$398.11	$489.78
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 $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $281.84	Professional		$199.53	$199.53	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $302.00 / $575.44	Facility		$151.36	$302.00	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $295.12	Professional		$144.54	$186.21	$295.12