Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.61 / $199.61 / $199.61	Facility		$199.61	$199.61	$199.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.10 / $214.96 / $416.54	Professional		$180.10	$214.96	$416.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.77 / $815.07 / $3,469.99	Facility		$481.77	$815.07	$3,469.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.50 / $306.50 / $306.50	Professional		$306.50	$306.50	$306.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $587.07	Facility		$260.88	$260.88	$587.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $467.63	Professional		$190.44	$260.88	$467.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $356.58 / $506.58 / $618.40	Professional		$356.58	$506.58	$618.40
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 $524.28 / $524.28 / $524.28	Professional		$524.28	$524.28	$524.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $303.97 / $319.16	Professional		$212.77	$303.97	$319.16
United Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $201.20 / $356.27	Professional		$168.50	$201.20	$356.27