Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $303.05 / $475.70	Facility		$142.00	$303.05	$475.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $147.19 / $303.05	Professional		$135.07	$147.19	$303.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.24 / $414.80 / $2,051.19	Facility		$237.24	$414.80	$2,051.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $119.49 / $133.34	Professional		$3.50	$119.49	$133.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.77 / $399.72 / $796.65	Facility		$219.77	$399.72	$796.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $211.01 / $318.06	Professional		$88.52	$211.01	$318.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.63 / $263.64 / $399.86	Professional		$176.63	$263.64	$399.86
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 $225.12 / $225.12 / $225.12	Professional		$225.12	$225.12	$225.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $127.28 / $259.76	Professional		$46.01	$127.28	$259.76
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $183.56 / $269.05	Professional		$103.90	$183.56	$269.05