Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.06 / $186.06 / $186.06	Facility		$186.06	$186.06	$186.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $193.15 / $356.98	Professional		$156.41	$193.15	$356.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.97 / $761.27 / $3,234.48	Facility		$449.97	$761.27	$3,234.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $513.72	Facility		$243.19	$243.19	$513.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $243.19 / $435.75	Professional		$177.53	$243.19	$435.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $468.45 / $573.50	Professional		$345.40	$468.45	$573.50
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 $488.70 / $488.70 / $488.70	Professional		$488.70	$488.70	$488.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $303.17 / $318.32	Professional		$212.21	$303.17	$318.32
United Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $187.54 / $332.08	Professional		$161.57	$187.54	$332.08