Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $776.25	Facility		$380.19	$380.19	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $645.65	Professional		$245.47	$380.19	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $5,248.07	Facility		$912.01	$1,479.11	$5,248.07
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 / $660.69	Facility		$489.78	$489.78	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $758.58	Professional		$363.08	$363.08	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $954.99	Professional		$602.56	$758.58	$954.99
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 $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $616.60	Professional		$426.58	$426.58	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $933.25	Facility		$380.19	$616.60	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $562.34	Professional		$257.04	$380.19	$562.34