Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.58 / $258.08 / $674.85	Facility		$118.58	$258.08	$674.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $122.92 / $248.73	Professional		$108.46	$122.92	$248.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.22 / $356.24 / $1,519.92	Facility		$195.22	$356.24	$1,519.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $99.78 / $111.35	Professional		$3.50	$99.78	$111.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.63 / $321.77 / $665.61	Facility		$183.63	$321.77	$665.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $175.99 / $266.73	Professional		$73.95	$175.99	$266.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.07 / $245.84 / $625.33	Professional		$159.07	$245.84	$625.33
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 $187.99 / $187.99 / $187.99	Professional		$187.99	$187.99	$187.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $170.88 / $216.92	Professional		$75.91	$170.88	$216.92
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $151.99 / $225.27	Professional		$86.77	$151.99	$225.27