Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $219.20 / $357.57	Facility		$112.34	$219.20	$357.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $112.34 / $174.13	Professional		$105.49	$112.34	$174.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.84 / $565.41 / $1,996.92	Facility		$180.84	$565.41	$1,996.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $94.53 / $105.49	Professional		$3.50	$94.53	$105.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.70 / $335.16 / $631.37	Facility		$188.70	$335.16	$631.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.62 / $152.07 / $231.50	Professional		$61.62	$152.07	$231.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $191.80 / $274.00	Professional		$139.74	$191.80	$274.00
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 $178.10 / $178.10 / $178.10	Professional		$178.10	$178.10	$178.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.32 / $186.32 / $205.50	Professional		$186.32	$186.32	$205.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $137.00	Professional		$57.54	$82.20	$137.00