Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.64 / $307.64 / $307.64	Facility		$307.64	$307.64	$307.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.64 / $307.64 / $443.55	Professional		$235.64	$307.64	$443.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.53 / $1,256.23 / $5,348.03	Facility		$742.53	$1,256.23	$5,348.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $624.64	Facility		$402.09	$402.09	$624.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $402.09 / $720.75	Professional		$293.52	$402.09	$720.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $621.55 / $784.21	Professional		$506.19	$621.55	$784.21
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 $808.03 / $808.03 / $808.03	Professional		$808.03	$808.03	$808.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $327.93 / $468.48 / $491.90	Professional		$327.93	$468.48	$491.90
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.40 / $310.08 / $532.32	Professional		$235.40	$310.08	$532.32