Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $124.72 / $324.16	Facility		$78.31	$124.72	$324.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $82.03 / $117.95	Professional		$65.58	$82.03	$117.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.29 / $294.14 / $1,061.68	Facility		$122.29	$294.14	$1,061.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $95.36 / $143.43	Professional		$78.84	$95.36	$143.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.00 / $140.00	Facility		$60.00	$75.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $104.23 / $153.06	Professional		$66.67	$104.23	$153.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $114.14 / $255.42	Professional		$73.84	$114.14	$255.42
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 $87.01 / $87.28 / $111.79	Professional		$87.01	$87.28	$111.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $120.39	Professional		$32.34	$32.34	$120.39
United Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $102.26 / $181.35	Professional		$76.48	$102.26	$181.35