Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $239.26 / $384.24	Facility		$111.22	$239.26	$384.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $106.05 / $239.26	Professional		$99.58	$106.05	$239.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.90 / $246.98 / $1,240.72	Facility		$144.90	$246.98	$1,240.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $99.58 / $99.58	Professional		$3.50	$99.58	$99.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.37 / $309.33 / $595.63	Facility		$90.37	$309.33	$595.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $148.68 / $188.82	Professional		$50.96	$148.68	$188.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $182.36 / $408.42	Professional		$129.33	$182.36	$408.42
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 $168.13 / $168.13 / $168.13	Professional		$168.13	$168.13	$168.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $71.13 / $161.66	Professional		$47.52	$71.13	$161.66
United Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $66.15 / $129.33	Professional		$48.11	$66.15	$129.33