Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.14 / $117.14 / $117.14	Facility		$117.14	$117.14	$117.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $117.14 / $173.27	Professional		$100.74	$117.14	$173.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $478.82 / $2,036.42	Facility		$283.02	$478.82	$2,036.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.88 / $179.88 / $202.51	Professional		$179.88	$179.88	$202.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $257.61	Facility		$126.98	$126.98	$257.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $277.25	Professional		$92.70	$92.70	$277.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.37 / $254.43 / $322.47	Professional		$207.37	$254.43	$322.47
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 $307.68 / $307.68 / $307.68	Professional		$307.68	$307.68	$307.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $178.38 / $187.29	Professional		$124.86	$178.38	$187.29
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $118.07 / $209.07	Professional		$80.45	$118.07	$209.07