Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $794.33 / $1,380.38	Facility		$478.63	$794.33	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $512.86	Professional		$309.03	$380.19	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $95.50 / $630.96	Facility		$34.67	$95.50	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $870.96 / $2,137.96	Facility		$302.00	$870.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $707.95	Professional		$537.03	$562.34	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $831.76	Professional		$346.74	$602.56	$831.76
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 $346.74 / $467.74 / $933.25	Facility		$346.74	$467.74	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $467.74	Professional		$194.98	$275.42	$467.74