Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.13 / $178.32 / $464.15	Facility		$84.13	$178.32	$464.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $77.41 / $109.99	Professional		$62.33	$77.41	$109.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.57 / $489.17 / $1,212.56	Facility		$125.57	$489.17	$1,212.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $63.25 / $70.58	Professional		$3.50	$63.25	$70.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.33 / $224.29 / $421.41	Facility		$116.33	$224.29	$421.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $113.43 / $166.69	Professional		$47.67	$113.43	$166.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $160.41 / $555.03	Professional		$100.83	$160.41	$555.03
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 $119.16 / $119.16 / $119.16	Professional		$119.16	$119.16	$119.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $124.66 / $137.49	Professional		$22.99	$124.66	$137.49
United Facility/Professional Facility Modifier Low / Median / High Price $150.07 / $150.07 / $150.07	Facility		$150.07	$150.07	$150.07
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $59.58 / $107.04	Professional		$38.50	$59.58	$107.04