Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $758.58	Facility		$371.54	$371.54	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $758.58	Professional		$281.84	$389.05	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,445.44 / $5,128.61	Facility		$891.25	$1,445.44	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $870.96	Facility		$489.78	$489.78	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $851.14	Professional		$354.81	$354.81	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $870.96	Professional		$575.44	$691.83	$870.96
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 $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $562.34	Professional		$398.11	$398.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $1,071.52	Facility		$426.58	$602.56	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $562.34	Professional		$281.84	$371.54	$562.34