Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.85 / $86.04 / $123.38	Facility		$84.85	$86.04	$123.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $86.04 / $282.72	Professional		$83.25	$86.04	$282.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.80 / $557.50 / $1,285.39	Facility		$356.80	$557.50	$1,285.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $106.40 / $114.45	Professional		$67.01	$106.40	$114.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $99.93 / $401.01	Professional		$99.93	$99.93	$401.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $93.65 / $700.43	Professional		$63.45	$93.65	$700.43
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $67.39 / $78.55	Professional		$63.66	$67.39	$78.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $88.82	Professional		$32.34	$32.34	$88.82
United Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $99.51 / $216.41	Professional		$54.50	$99.51	$216.41