Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $275.42 / $776.25	Facility		$95.50	$275.42	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $288.40	Professional		$81.28	$102.33	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $316.23 / $1,047.13	Facility		$125.89	$316.23	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $104.71 / $218.78	Professional		$37.15	$104.71	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $158.49 / $316.23	Facility		$67.61	$158.49	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $204.17	Professional		$85.11	$131.83	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $630.96	Professional		$107.15	$173.78	$630.96
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 $117.49 / $120.23 / $128.82	Professional		$117.49	$120.23	$128.82
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 $61.66 / $74.13 / $229.09	Facility		$61.66	$74.13	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $181.97	Professional		$93.33	$120.23	$181.97