Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $912.01	Professional		$870.96	$912.01	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,071.52 / $6,309.57	Facility		$616.60	$1,071.52	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $933.25 / $1,258.93	Professional		$190.55	$933.25	$1,258.93
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $870.96	Facility		$562.34	$562.34	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96