Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $138.04	Professional		$47.86	$47.86	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $575.44	Facility		$331.13	$512.86	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $190.55	Professional		$169.82	$181.97	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $758.58	Professional		$245.47	$407.38	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $269.15	Professional		$144.54	$181.97	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $257.04 / $575.44	Professional		$93.33	$257.04	$575.44