Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.28 / $98.16 / $345.36	Facility		$92.28	$98.16	$345.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $98.16 / $127.61	Professional		$92.28	$98.16	$127.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $101.26 / $101.26	Professional		$101.26	$101.26	$101.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $128.16 / $181.60	Professional		$98.16	$128.16	$181.60
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 $127.61 / $127.61 / $127.61	Professional		$127.61	$127.61	$127.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $87.66	Professional		$30.00	$30.00	$87.66
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $109.94 / $117.79	Professional		$98.16	$109.94	$117.79