Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.58 / $282.58 / $282.58	Facility		$282.58	$282.58	$282.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.06 / $293.69 / $445.15	Professional		$230.06	$293.69	$445.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $682.11 / $1,154.01 / $4,912.35	Facility		$682.11	$1,154.01	$4,912.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.91 / $433.91 / $433.91	Professional		$433.91	$433.91	$433.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $649.86	Facility		$305.54	$305.54	$649.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $305.54 / $661.88	Professional		$223.04	$305.54	$661.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $485.29 / $605.36 / $767.20	Professional		$485.29	$605.36	$767.20
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 $742.21 / $742.21 / $742.21	Professional		$742.21	$742.21	$742.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.23 / $430.33 / $451.84	Professional		$301.23	$430.33	$451.84
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $217.37 / $284.83 / $500.13	Professional		$217.37	$284.83	$500.13