Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.51 / $371.51 / $371.51	Facility		$371.51	$371.51	$371.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.20 / $395.88 / $630.97	Professional		$335.20	$395.88	$630.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $896.76 / $1,517.16 / $6,458.52	Facility		$896.76	$1,517.16	$6,458.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.47 / $570.47 / $684.56	Professional		$570.47	$570.47	$684.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $888.06	Facility		$485.57	$485.57	$888.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $485.57 / $870.38	Professional		$354.47	$485.57	$870.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $638.03 / $927.82 / $1,132.63	Professional		$638.03	$927.82	$1,132.63
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 $975.81 / $975.81 / $975.81	Professional		$975.81	$975.81	$975.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $423.74 / $605.35 / $635.61	Professional		$423.74	$605.35	$635.61
United Facility/Professional Professional Modifier Low / Median / High Price $338.12 / $374.47 / $663.10	Professional		$338.12	$374.47	$663.10