Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.05 / $210.05 / $210.05	Facility		$210.05	$210.05	$210.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.90 / $226.21 / $362.78	Professional		$195.90	$226.21	$362.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.21 / $858.11 / $3,651.49	Facility		$507.21	$858.11	$3,651.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.54 / $322.54 / $322.54	Professional		$322.54	$322.54	$322.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $542.19	Facility		$274.52	$274.52	$542.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.52 / $492.00	Professional		$200.41	$274.52	$492.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $478.05 / $594.15	Professional		$360.73	$478.05	$594.15
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 $551.71 / $551.71 / $551.71	Professional		$551.71	$551.71	$551.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.90 / $319.86 / $335.85	Professional		$223.90	$319.86	$335.85
United Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $211.72 / $374.90	Professional		$172.25	$211.72	$374.90