Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.23 / $352.63 / $525.91	Facility		$165.23	$352.63	$525.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $167.50 / $256.11	Professional		$155.16	$167.50	$256.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.05 / $1,075.23 / $2,665.64	Facility		$276.05	$1,075.23	$2,665.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $139.04 / $155.16	Professional		$3.50	$139.04	$155.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.50 / $492.10 / $927.69	Facility		$255.50	$492.10	$927.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $249.28 / $366.95	Professional		$104.71	$249.28	$366.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.53 / $345.40 / $690.50	Professional		$205.53	$345.40	$690.50
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 $261.95 / $261.95 / $261.95	Professional		$261.95	$261.95	$261.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $274.04 / $302.25	Professional		$29.50	$274.04	$302.25
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $128.36 / $235.30	Professional		$84.63	$128.36	$235.30