Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.52 / $165.52 / $165.52	Facility		$165.52	$165.52	$165.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $165.52 / $257.63	Professional		$132.52	$165.52	$257.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.48 / $885.72 / $2,770.87	Facility		$518.48	$885.72	$2,770.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $244.75 / $244.75	Professional		$187.12	$244.75	$244.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $382.59	Facility		$181.86	$181.86	$382.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $181.86 / $373.50	Professional		$132.76	$181.86	$373.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $352.20 / $411.00	Professional		$273.73	$352.20	$411.00
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 $418.65 / $418.65 / $418.65	Professional		$418.65	$418.65	$418.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $224.02 / $235.22	Professional		$156.81	$224.02	$235.22
United Facility/Professional Facility Modifier Low / Median / High Price $98.33 / $143.90 / $322.04	Facility		$98.33	$143.90	$322.04
United Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $160.66 / $275.80	Professional		$121.00	$160.66	$275.80