Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.35 / $310.19 / $486.92	Facility		$145.35	$310.19	$486.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $152.44 / $225.29	Professional		$136.47	$152.44	$225.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.83 / $945.89 / $2,344.71	Facility		$242.83	$945.89	$2,344.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $122.30 / $136.47	Professional		$3.50	$122.30	$136.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.76 / $433.25 / $816.01	Facility		$224.76	$433.25	$816.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $219.38 / $322.77	Professional		$92.11	$219.38	$322.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $301.33 / $822.62	Professional		$186.11	$301.33	$822.62
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 $230.43 / $230.43 / $230.43	Professional		$230.43	$230.43	$230.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $241.06 / $265.88	Professional		$29.50	$241.06	$265.88
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $112.91 / $206.98	Professional		$74.45	$112.91	$206.98