Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.81 / $275.81 / $275.81	Facility		$275.81	$275.81	$275.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.33 / $280.91 / $429.28	Professional		$244.33	$280.91	$429.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.77 / $1,084.07 / $4,617.10	Facility		$640.77	$1,084.07	$4,617.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.34 / $407.82 / $407.82	Professional		$356.34	$407.82	$407.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $679.10	Facility		$347.13	$347.13	$679.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $347.13 / $622.13	Professional		$253.40	$347.13	$622.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $456.11 / $781.52 / $1,088.26	Professional		$456.11	$781.52	$1,088.26
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 $697.58 / $697.58 / $697.58	Professional		$697.58	$697.58	$697.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.11 / $404.45 / $424.67	Professional		$283.11	$404.45	$424.67
United Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $267.70 / $474.04	Professional		$221.79	$267.70	$474.04