Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.62 / $111.43 / $111.43	Facility		$73.62	$111.43	$111.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $74.78 / $104.61	Professional		$65.73	$74.78	$104.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.50 / $342.72 / $944.48	Facility		$128.50	$342.72	$944.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $81.44 / $110.90	Professional		$80.93	$81.44	$110.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.00 / $108.00	Facility		$60.00	$75.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $102.81 / $146.49	Professional		$68.61	$102.81	$146.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $104.86 / $328.76	Professional		$69.04	$104.86	$328.76
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 $89.75 / $89.82 / $95.46	Professional		$89.75	$89.82	$95.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $102.80	Professional		$32.34	$32.34	$102.80
United Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $99.68 / $161.25	Professional		$67.01	$99.68	$161.25