Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.06 / $197.06 / $197.06	Facility		$197.06	$197.06	$197.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $200.71 / $302.51	Professional		$159.10	$200.71	$302.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.92 / $774.72 / $3,298.82	Facility		$457.92	$774.72	$3,298.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.60 / $291.38 / $291.38	Professional		$254.60	$291.38	$291.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $399.52	Facility		$215.87	$215.87	$399.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $215.87 / $444.38	Professional		$157.59	$215.87	$444.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $417.37 / $513.75	Professional		$325.89	$417.37	$513.75
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 $498.42 / $498.42 / $498.42	Professional		$498.42	$498.42	$498.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $288.97 / $303.41	Professional		$202.27	$288.97	$303.41
United Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $189.56 / $328.34	Professional		$142.80	$189.56	$328.34