Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.80 / $79.80 / $79.80	Facility		$79.80	$79.80	$79.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $79.80 / $124.21	Professional		$63.00	$79.80	$124.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.03 / $314.73 / $1,335.89	Facility		$186.03	$314.73	$1,335.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $118.00 / $118.00	Professional		$103.10	$118.00	$118.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $159.69	Facility		$100.43	$100.43	$159.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $100.43 / $180.00	Professional		$73.31	$100.43	$180.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $162.46 / $200.00	Professional		$124.21	$162.46	$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
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $201.84 / $201.84 / $201.84	Professional		$201.84	$201.84	$201.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $125.22 / $131.48	Professional		$87.65	$125.22	$131.48
United Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $77.45 / $129.09	Professional		$60.36	$77.45	$129.09