Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.86 / $145.86 / $145.86	Facility		$145.86	$145.86	$145.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $145.86 / $194.48	Professional		$111.65	$145.86	$194.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $24.12 / $24.12	Professional		$17.95	$24.12	$24.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.10 / $147.10 / $147.10	Facility		$147.10	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $147.10	Professional		$107.38	$125.04	$147.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $52.65 / $200.00	Professional		$30.94	$52.65	$200.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $29.04	Professional		$19.36	$19.36	$29.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $17.26 / $39.57	Professional		$11.78	$17.26	$39.57