Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.22 / $271.22 / $271.22	Facility		$271.22	$271.22	$271.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.46 / $271.22 / $410.10	Professional		$204.46	$271.22	$410.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.08 / $1,108.28 / $4,715.01	Facility		$655.08	$1,108.28	$4,715.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.46 / $416.46 / $416.46	Professional		$416.46	$416.46	$416.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $577.97	Facility		$366.26	$366.26	$577.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $366.26 / $635.25	Professional		$267.37	$366.26	$635.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $438.38 / $539.62 / $655.66	Professional		$438.38	$539.62	$655.66
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 $712.37 / $712.37 / $712.37	Professional		$712.37	$712.37	$712.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.35 / $441.94 / $464.03	Professional		$309.35	$441.94	$464.03
United Facility/Professional Professional Modifier Low / Median / High Price $182.26 / $273.38 / $469.31	Professional		$182.26	$273.38	$469.31