Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $501.19	Facility		$239.88	$239.88	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $457.09	Professional		$194.98	$257.04	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $3,388.44	Facility		$588.84	$954.99	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $524.81	Facility		$316.23	$316.23	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $512.86	Professional		$229.09	$229.09	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $707.95	Professional		$416.87	$562.34	$707.95
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 $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $371.54	Professional		$257.04	$257.04	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $389.05 / $724.44	Facility		$288.40	$389.05	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $363.08	Professional		$186.21	$245.47	$363.08