Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.39 / $221.39 / $1,222.92	Facility		$221.39	$221.39	$1,222.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.53 / $245.99 / $379.75	Professional		$208.53	$245.99	$379.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.16 / $871.56 / $3,706.08	Facility		$515.16	$871.56	$3,706.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.31 / $327.36 / $327.36	Professional		$271.31	$327.36	$327.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $471.65	Facility		$261.02	$264.44	$471.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $261.02 / $499.50	Professional		$193.04	$261.02	$499.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $366.13 / $487.36 / $603.04	Professional		$366.13	$487.36	$603.04
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 $559.96 / $559.96 / $559.96	Professional		$559.96	$559.96	$559.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.26 / $324.66 / $340.89	Professional		$227.26	$324.66	$340.89
United Facility/Professional Professional Modifier Low / Median / High Price $170.10 / $214.89 / $377.32	Professional		$170.10	$214.89	$377.32