Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $127.61 / $197.28	Facility		$64.44	$127.61	$197.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $64.44 / $127.61	Professional		$56.62	$64.44	$127.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.86 / $278.25 / $1,027.90	Facility		$161.86	$278.25	$1,027.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $28.80 / $144.44	Professional		$9.01	$28.80	$144.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.97 / $164.35 / $468.49	Facility		$93.97	$164.35	$468.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $92.16 / $155.60	Professional		$62.62	$92.16	$155.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $100.00 / $256.89	Professional		$67.43	$100.00	$256.89
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 $76.69 / $79.69 / $85.49	Professional		$76.69	$79.69	$85.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $37.68 / $80.88	Professional		$4.76	$37.68	$80.88
United Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.83 / $156.19	Professional		$71.39	$97.83	$156.19