Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $149.11 / $199.36	Facility		$79.05	$149.11	$199.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $98.67 / $168.06	Professional		$69.30	$98.67	$168.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.44 / $390.00 / $1,443.39	Facility		$193.44	$390.00	$1,443.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.66 / $112.66 / $125.77	Facility		$112.66	$112.66	$125.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $127.91 / $197.94	Professional		$83.56	$127.91	$197.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $163.22 / $342.27	Professional		$103.26	$163.22	$342.27
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 $89.06 / $98.57 / $151.57	Professional		$89.06	$98.57	$151.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.39	Professional		$32.34	$32.34	$171.39
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,592.00	Facility		$165.00	$891.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $133.58 / $235.08	Professional		$97.15	$133.58	$235.08