Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $74.56 / $74.56	Facility		$74.56	$74.56	$74.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $74.56 / $98.73	Professional		$61.23	$74.56	$98.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.67 / $303.97 / $1,296.08	Facility		$179.67	$303.97	$1,296.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $114.49 / $114.49	Professional		$114.49	$114.49	$114.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $131.68	Facility		$97.44	$97.44	$131.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $97.44 / $174.75	Professional		$71.13	$97.44	$174.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $163.80 / $207.60	Professional		$128.04	$163.80	$207.60
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 $195.83 / $195.83 / $195.83	Professional		$195.83	$195.83	$195.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.47 / $113.54 / $119.21	Professional		$79.47	$113.54	$119.21
United Facility/Professional Facility Modifier Low / Median / High Price $150.63 / $187.92 / $349.22	Facility		$150.63	$187.92	$349.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $75.15 / $129.01	Professional		$51.01	$75.15	$129.01