Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.97 / $226.14 / $470.45	Facility		$115.97	$226.14	$470.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $115.97 / $121.77	Professional		$98.01	$115.97	$121.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.38 / $564.91 / $2,501.36	Facility		$205.38	$564.91	$2,501.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $181.60 / $204.53	Professional		$132.16	$181.60	$204.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $295.41 / $481.51	Facility		$9.68	$295.41	$481.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $136.81 / $153.88	Professional		$50.30	$136.81	$153.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $70.11 / $555.19	Professional		$46.45	$70.11	$555.19
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 $59.20 / $60.24 / $64.64	Professional		$59.20	$60.24	$64.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $99.05 / $106.89	Professional		$49.52	$99.05	$106.89
United Facility/Professional Facility Modifier Low / Median / High Price $681.24 / $681.24 / $1,915.99	Facility		$681.24	$681.24	$1,915.99
United Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $63.63 / $118.00	Professional		$49.17	$63.63	$118.00