Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.21 / $201.21 / $201.21	Facility		$201.21	$201.21	$201.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $201.21 / $313.19	Professional		$155.81	$201.21	$313.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.46 / $790.86 / $3,368.44	Facility		$467.46	$790.86	$3,368.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $297.52 / $297.52	Professional		$229.39	$297.52	$297.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $405.58	Facility		$227.07	$227.07	$405.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $227.07 / $453.75	Professional		$165.76	$227.07	$453.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $332.77 / $501.25 / $654.55	Professional		$332.77	$501.25	$654.55
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 $508.94 / $508.94 / $508.94	Professional		$508.94	$508.94	$508.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.55 / $295.08 / $309.83	Professional		$206.55	$295.08	$309.83
United Facility/Professional Professional Modifier Low / Median / High Price $148.85 / $195.31 / $345.85	Professional		$148.85	$195.31	$345.85