Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $276.08 / $276.08	Facility		$276.08	$276.08	$276.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.83 / $276.08 / $351.69	Professional		$186.83	$276.08	$351.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.21 / $1,127.10 / $4,799.66	Facility		$666.21	$1,127.10	$4,799.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.94 / $423.94 / $423.94	Professional		$423.94	$423.94	$423.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $360.86 / $460.21	Facility		$360.86	$360.86	$460.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $360.86 / $646.50	Professional		$263.43	$360.86	$646.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $433.30 / $536.15 / $651.44	Professional		$433.30	$536.15	$651.44
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 $725.17 / $725.17 / $725.17	Professional		$725.17	$725.17	$725.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.30 / $420.43 / $441.45	Professional		$294.30	$420.43	$441.45
United Facility/Professional Professional Modifier Low / Median / High Price $186.64 / $278.29 / $477.73	Professional		$186.64	$278.29	$477.73