Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $223.87 / $371.54	Facility		$117.49	$223.87	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $288.40	Professional		$104.71	$138.04	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $741.31 / $1,621.81	Facility		$478.63	$741.31	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $275.42 / $812.83	Facility		$97.72	$275.42	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $380.19	Professional		$109.65	$190.55	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $794.33	Professional		$125.89	$218.78	$794.33
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 $147.91 / $151.36 / $162.18	Professional		$147.91	$151.36	$162.18
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 $173.78 / $338.84 / $1,071.52	Facility		$173.78	$338.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $346.74	Professional		$128.82	$204.17	$346.74