Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.29 / $185.38 / $298.66	Facility		$117.29	$185.38	$298.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $93.83 / $97.27	Professional		$75.23	$93.83	$97.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.88 / $160.19 / $202.54	Facility		$133.88	$160.19	$202.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.61 / $279.74 / $527.13	Facility		$157.61	$279.74	$527.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $139.65 / $167.32	Professional		$137.32	$139.65	$167.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.72 / $160.19 / $257.47	Professional		$116.72	$160.19	$257.47
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 $155.62 / $155.62 / $171.65	Professional		$155.62	$155.62	$171.65
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $114.43	Professional		$48.06	$68.66	$114.43