Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $242.71	Facility		$242.71	$242.71	$242.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $311.20	Professional		$242.71	$242.71	$311.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.91 / $764.63 / $986.45	Facility		$640.91	$764.63	$986.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $263.39 / $263.39	Facility		$263.39	$263.39	$263.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Professional		$57.70	$57.70	$57.70