Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $330.96 / $498.94	Facility		$165.00	$330.96	$498.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $172.20 / $206.99	Professional		$99.03	$172.20	$206.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.48 / $1,079.97 / $2,512.33	Facility		$428.48	$1,079.97	$2,512.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $168.95 / $176.99	Professional		$151.88	$168.95	$176.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.35 / $401.02 / $869.17	Facility		$234.35	$401.02	$869.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $272.75 / $420.08	Professional		$187.57	$272.75	$420.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $229.77 / $1,893.27	Professional		$151.88	$229.77	$1,893.27
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 $179.49 / $184.18 / $209.17	Professional		$179.49	$184.18	$209.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $217.60 / $454.06	Professional		$120.06	$217.60	$454.06