Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.41 / $915.09 / $1,751.40	Facility		$512.41	$915.09	$1,751.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $960.84	Professional		$915.09	$915.09	$960.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.30 / $560.30 / $560.30	Professional		$560.30	$560.30	$560.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Facility		$915.09	$915.09	$915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,079.10	Professional		$915.09	$915.09	$1,079.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $732.07 / $1,134.71 / $1,836.09	Professional		$732.07	$1,134.71	$1,836.09
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 $1,189.61 / $1,189.61 / $1,189.61	Professional		$1,189.61	$1,189.61	$1,189.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $673.12 / $692.92 / $742.41	Professional		$673.12	$692.92	$742.41
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,003.25	Professional		$915.09	$915.09	$1,003.25