Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.51 / $292.61 / $855.93	Facility		$150.51	$292.61	$855.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $134.44 / $208.40	Professional		$114.77	$134.44	$208.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.62 / $749.94 / $2,168.96	Facility		$224.62	$749.94	$2,168.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $113.13 / $126.25	Professional		$3.50	$113.13	$126.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.14 / $400.85 / $754.96	Facility		$208.14	$400.85	$754.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $202.81 / $298.63	Professional		$85.30	$202.81	$298.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $282.54 / $524.02	Professional		$172.16	$282.54	$524.02
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 $213.15 / $213.15 / $213.15	Professional		$213.15	$213.15	$213.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $222.99 / $245.94	Professional		$22.99	$222.99	$245.94
United Facility/Professional Facility Modifier Low / Median / High Price $94.46 / $327.92 / $327.92	Facility		$94.46	$327.92	$327.92
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $106.57 / $223.69	Professional		$68.86	$106.57	$223.69