Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.88 / $96.88 / $96.88	Facility		$96.88	$96.88	$96.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $104.33 / $164.53	Professional		$96.88	$104.33	$164.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.73 / $395.43 / $1,684.10	Facility		$233.73	$395.43	$1,684.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $148.75 / $148.75	Professional		$148.75	$148.75	$148.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $215.30	Facility		$122.31	$122.31	$215.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $226.88	Professional		$89.29	$122.31	$226.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $229.73 / $280.45	Professional		$189.84	$229.73	$280.45
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 $254.45 / $254.45 / $254.45	Professional		$254.45	$254.45	$254.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $147.54 / $154.91	Professional		$103.27	$147.54	$154.91
United Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $97.65 / $172.91	Professional		$81.38	$97.65	$172.91