Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.85 / $135.59 / $384.65	Facility		$87.85	$135.59	$384.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $93.02 / $142.75	Professional		$69.68	$93.02	$142.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.62 / $393.75 / $1,446.72	Facility		$140.62	$393.75	$1,446.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $121.79 / $156.58	Professional		$121.03	$121.79	$156.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $80.00 / $150.00	Facility		$60.00	$80.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $137.27 / $195.47	Professional		$96.41	$137.27	$195.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $155.36 / $295.20	Professional		$103.57	$155.36	$295.20
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $134.94 / $142.75	Professional		$134.63	$134.94	$142.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $153.72	Professional		$32.34	$32.34	$153.72
United Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $109.39 / $187.29	Professional		$82.36	$109.39	$187.29