Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $54.13 / $307.91	Facility		$29.43	$54.13	$307.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $123.36 / $243.92	Professional		$22.55	$123.36	$243.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.51 / $466.77 / $657.17	Facility		$171.51	$466.77	$657.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $79.66 / $325.13	Professional		$27.14	$79.66	$325.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $476.29 / $937.82	Facility		$32.03	$476.29	$937.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $143.09 / $332.03	Professional		$25.06	$143.09	$332.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $204.74 / $1,046.96	Professional		$26.55	$204.74	$1,046.96
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 $22.31 / $25.57 / $198.82	Professional		$22.31	$25.57	$198.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $224.82	Professional		$32.34	$32.34	$224.82
United Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $234.01 / $371.48	Professional		$184.49	$234.01	$371.48