Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $68.23 / $68.23	Facility		$68.23	$68.23	$68.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $72.79 / $113.20	Professional		$54.45	$72.79	$113.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $279.76 / $1,186.20	Facility		$165.36	$279.76	$1,186.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $104.77 / $104.77	Professional		$104.77	$104.77	$104.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $134.93	Facility		$89.19	$89.19	$134.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $89.19 / $159.75	Professional		$65.11	$89.19	$159.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $152.36 / $196.52	Professional		$124.07	$152.36	$196.52
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 $179.22 / $179.22 / $179.22	Professional		$179.22	$179.22	$179.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $111.19 / $116.74	Professional		$77.83	$111.19	$116.74
United Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $68.78 / $114.63	Professional		$50.65	$68.78	$114.63