Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $182.32 / $250.41	Facility		$78.48	$182.32	$250.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $74.75 / $157.08	Professional		$48.32	$74.75	$157.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.03 / $216.79 / $958.09	Facility		$124.03	$216.79	$958.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $62.90 / $70.19	Professional		$3.50	$62.90	$70.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $226.18 / $419.92	Facility		$92.87	$226.18	$419.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $111.10 / $157.66	Professional		$58.06	$111.10	$157.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.72 / $136.74 / $225.64	Professional		$95.72	$136.74	$225.64
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 $118.51 / $118.51 / $118.51	Professional		$118.51	$118.51	$118.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $50.14 / $113.95	Professional		$33.49	$50.14	$113.95
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $54.70 / $106.46	Professional		$38.29	$54.70	$106.46