Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $120.06 / $307.74	Facility		$66.68	$120.06	$307.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $66.68 / $124.40	Professional		$62.10	$66.68	$124.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.40 / $351.41 / $1,477.42	Facility		$150.40	$351.41	$1,477.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $107.45 / $164.44	Professional		$89.37	$107.45	$164.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $145.88 / $145.88	Facility		$145.88	$145.88	$145.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $97.98 / $152.78	Professional		$67.56	$97.98	$152.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $114.26 / $426.47	Professional		$78.55	$114.26	$426.47
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 $86.09 / $87.30 / $92.83	Professional		$86.09	$87.30	$92.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $104.97	Professional		$32.34	$32.34	$104.97
United Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $76.54 / $76.54	Facility		$76.54	$76.54	$76.54
United Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $93.46 / $144.58	Professional		$73.59	$93.46	$144.58