Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.70 / $351.70 / $351.70	Facility		$351.70	$351.70	$351.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $127.76 / $258.52	Professional		$115.73	$127.76	$258.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $103.71 / $115.73	Professional		$3.50	$103.71	$115.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $207.73 / $308.14	Professional		$73.29	$207.73	$308.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $284.91 / $514.69	Professional		$180.36	$284.91	$514.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.41 / $220.94 / $225.45	Professional		$204.41	$220.94	$225.45
United Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $165.33 / $270.54	Professional		$90.18	$165.33	$270.54