Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.72 / $152.72 / $152.72	Facility		$152.72	$152.72	$152.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $152.72 / $206.44	Professional		$121.03	$152.72	$206.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.57 / $599.87 / $2,556.61	Facility		$354.57	$599.87	$2,556.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $225.82 / $225.82	Professional		$177.00	$225.82	$225.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $302.20	Facility		$190.78	$190.78	$302.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $190.78 / $344.63	Professional		$139.27	$190.78	$344.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.26 / $321.23 / $386.34	Professional		$251.26	$321.23	$386.34
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 $386.27 / $386.27 / $386.27	Professional		$386.27	$386.27	$386.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $223.96 / $235.15	Professional		$156.77	$223.96	$235.15
United Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $148.24 / $262.49	Professional		$108.45	$148.24	$262.49