Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.55 / $553.94 / $1,312.50	Facility		$498.55	$553.94	$1,312.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $581.63	Professional		$553.94	$553.94	$581.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.66 / $280.66 / $294.69	Professional		$280.66	$280.66	$294.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Facility		$553.94	$553.94	$553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $653.23	Professional		$553.94	$553.94	$653.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $443.15 / $637.03 / $1,055.26	Professional		$443.15	$637.03	$1,055.26
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 $720.12 / $720.12 / $720.12	Professional		$720.12	$720.12	$720.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $364.44	Professional		$30.00	$40.00	$364.44
United Facility/Professional Professional Modifier Low / Median / High Price $526.24 / $553.94 / $607.30	Professional		$526.24	$553.94	$607.30