Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.69 / $280.87 / $483.37	Facility		$137.69	$280.87	$483.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $151.86 / $222.24	Professional		$96.30	$151.86	$222.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.46 / $764.33 / $2,699.41	Facility		$244.46	$764.33	$2,699.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $127.79 / $142.60	Professional		$3.50	$127.79	$142.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.14 / $452.87 / $853.24	Facility		$235.14	$452.87	$853.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $215.24 / $312.85	Professional		$86.10	$215.24	$312.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $302.49 / $776.82	Professional		$200.00	$302.49	$776.82
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 $240.76 / $240.76 / $240.76	Professional		$240.76	$240.76	$240.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $277.80	Professional		$251.87	$251.87	$277.80
United Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $194.46 / $457.44	Facility		$185.20	$194.46	$457.44
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $190.76	Professional		$77.78	$111.12	$190.76