Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $131.83	Facility		$66.07	$66.07	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $112.20	Professional		$50.12	$66.07	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $251.19 / $891.25	Facility		$158.49	$251.19	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $97.72	Professional		$79.43	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $87.10	Facility		$83.18	$83.18	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $125.89	Professional		$61.66	$61.66	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $173.78	Professional		$100.00	$128.82	$173.78
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 $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $97.72	Professional		$69.18	$69.18	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $104.71 / $158.49	Facility		$40.74	$104.71	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $87.10	Professional		$40.74	$64.57	$87.10