Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.00 / $259.00 / $259.00	Facility		$259.00	$259.00	$259.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.68 / $278.92 / $439.87	Professional		$233.68	$278.92	$439.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.87 / $1,057.17 / $4,502.39	Facility		$624.87	$1,057.17	$4,502.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.69 / $397.69 / $397.69	Professional		$397.69	$397.69	$397.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $575.61	Facility		$338.50	$338.50	$575.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $338.50 / $606.75	Professional		$247.11	$338.50	$606.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $444.79 / $622.48 / $759.89	Professional		$444.79	$622.48	$759.89
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 $680.26 / $680.26 / $680.26	Professional		$680.26	$680.26	$680.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.40 / $422.01 / $443.11	Professional		$295.40	$422.01	$443.11
United Facility/Professional Professional Modifier Low / Median / High Price $217.55 / $261.06 / $462.27	Professional		$217.55	$261.06	$462.27