Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $149.32 / $454.14	Facility		$34.02	$149.32	$454.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $149.32 / $232.83	Professional		$81.45	$149.32	$232.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $671.69 / $2,330.36	Facility		$320.00	$671.69	$2,330.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.80 / $199.43 / $199.43	Professional		$155.80	$199.43	$199.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $160.05	Professional		$135.78	$135.78	$160.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $226.02 / $305.79 / $641.52	Professional		$226.02	$305.79	$641.52
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 $345.67 / $345.67 / $345.67	Professional		$345.67	$345.67	$345.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $361.62 / $398.85	Professional		$126.71	$361.62	$398.85
United Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $132.65 / $234.90	Professional		$93.97	$132.65	$234.90