Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $180.81 / $180.81	Facility		$180.81	$180.81	$180.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $194.72 / $334.41	Professional		$173.86	$194.72	$334.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.25 / $739.75 / $3,143.26	Facility		$437.25	$739.75	$3,143.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.64 / $277.64 / $277.64	Professional		$277.64	$277.64	$277.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $441.02	Facility		$228.28	$228.28	$441.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $423.38	Professional		$166.64	$228.28	$423.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $328.79 / $446.61 / $545.19	Professional		$328.79	$446.61	$545.19
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 $474.92 / $474.92 / $474.92	Professional		$474.92	$474.92	$474.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.74 / $275.35 / $289.11	Professional		$192.74	$275.35	$289.11
United Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $182.26 / $322.73	Professional		$164.72	$182.26	$322.73