Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $151.87 / $191.60	Facility		$70.50	$151.87	$191.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $67.14 / $104.07	Professional		$40.93	$67.14	$104.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $369.34 / $1,083.19	Facility		$110.53	$369.34	$1,083.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $63.05 / $63.05	Professional		$3.50	$63.05	$63.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $195.85 / $376.73	Facility		$77.83	$195.85	$376.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $94.16 / $124.94	Professional		$45.21	$94.16	$124.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $131.01 / $433.32	Professional		$83.52	$131.01	$433.32
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 $106.44 / $106.44 / $106.44	Professional		$106.44	$106.44	$106.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $56.17 / $102.35	Professional		$30.09	$56.17	$102.35
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $52.32 / $84.34	Professional		$34.39	$52.32	$84.34