Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $954.99 / $1,258.93	Facility		$117.49	$954.99	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $977.24 / $1,023.29	Professional		$954.99	$977.24	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $316.23	Facility		$177.83	$213.80	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $346.74	Professional		$120.23	$169.82	$346.74
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 / $33.11	Professional		$30.20	$30.20	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,288.25	Facility		$794.33	$1,288.25	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $707.95 / $794.33	Professional		$125.89	$707.95	$794.33