Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.24 / $60.24 / $60.24	Facility		$60.24	$60.24	$60.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $61.35 / $93.76	Professional		$56.00	$61.35	$93.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $236.72 / $1,008.34	Facility		$139.91	$236.72	$1,008.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $89.07 / $89.07	Professional		$77.83	$89.07	$89.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $129.68	Facility		$75.81	$75.81	$129.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $135.75	Professional		$55.35	$75.81	$135.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.48 / $184.40 / $263.00	Professional		$105.48	$184.40	$263.00
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 $152.36 / $152.36 / $152.36	Professional		$152.36	$152.36	$152.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $67.62 / $71.00	Professional		$47.33	$67.62	$71.00
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $58.47 / $100.37	Professional		$45.29	$58.47	$100.37