Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $122.46	Professional		$48.75	$48.75	$122.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.41 / $512.41 / $572.97	Facility		$334.41	$512.41	$572.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $180.00 / $188.88	Professional		$170.99	$180.00	$188.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $286.63 / $709.46	Professional		$245.68	$286.63	$709.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $195.04 / $285.16	Professional		$149.66	$195.04	$285.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $542.00 / $542.00 / $542.00	Professional		$542.00	$542.00	$542.00