Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $198.77 / $328.84	Facility		$98.16	$198.77	$328.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $104.30	Professional		$98.16	$98.16	$104.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $46.87 / $1,512.10	Facility		$16.00	$46.87	$1,512.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $149.24 / $200.00	Professional		$7.85	$149.24	$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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $130.18	Professional		$122.70	$122.70	$130.18