Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.97 / $65.97 / $65.97	Facility		$65.97	$65.97	$65.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $67.19 / $109.17	Professional		$56.38	$67.19	$109.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.65 / $617.97 / $1,347.87	Facility		$209.65	$617.97	$1,347.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $79.03 / $79.03	Professional		$68.65	$79.03	$79.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $174.15	Facility		$128.79	$128.79	$174.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $98.00 / $139.13	Professional		$94.02	$98.00	$139.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $161.12 / $213.28	Professional		$103.99	$161.12	$213.28
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 $135.19 / $135.19 / $135.19	Professional		$135.19	$135.19	$135.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $126.88 / $133.22	Professional		$88.81	$126.88	$133.22
United Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $97.36 / $172.40	Professional		$68.23	$97.36	$172.40