Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $128.82 / $288.40	Facility		$91.20	$128.82	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $151.36	Professional		$70.79	$91.20	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $323.59 / $912.01	Facility		$151.36	$323.59	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $109.65 / $208.93	Professional		$21.88	$109.65	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $173.78 / $380.19	Facility		$75.86	$173.78	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $169.82	Professional		$72.44	$109.65	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $457.09	Professional		$97.72	$194.98	$457.09
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 $112.20 / $114.82 / $123.03	Professional		$112.20	$114.82	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $199.53 / $630.96	Facility		$48.98	$199.53	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $158.49	Professional		$74.13	$102.33	$158.49