Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.18 / $132.18 / $132.18	Facility		$132.18	$132.18	$132.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $74.93 / $110.98	Professional		$65.53	$74.93	$110.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $88.28 / $131.19	Professional		$49.43	$88.28	$131.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.20 / $109.20 / $109.20	Facility		$109.20	$109.20	$109.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $109.20 / $161.91	Professional		$65.63	$109.20	$161.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $110.42 / $244.86	Professional		$65.33	$110.42	$244.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.62 / $121.23	Professional		$32.34	$60.62	$121.23
United Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $84.00 / $149.72	Professional		$66.31	$84.00	$149.72