Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.80 / $164.60 / $383.44	Facility		$85.80	$164.60	$383.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $164.60 / $250.00	Professional		$154.01	$164.60	$250.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.17 / $1,442.08 / $2,887.76	Facility		$674.17	$1,442.08	$2,887.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $188.91 / $188.91	Professional		$188.91	$188.91	$188.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $256.85 / $358.37	Professional		$100.00	$256.85	$358.37
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $184.91 / $188.04	Professional		$156.69	$184.91	$188.04