Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $137.77 / $592.20	Facility		$106.70	$137.77	$592.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $123.77	Professional		$106.70	$106.70	$123.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.51 / $1,370.84 / $6,596.94	Facility		$563.51	$1,370.84	$6,596.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $42.46 / $52.37	Professional		$42.46	$42.46	$52.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $150.99	Professional		$106.70	$106.70	$150.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $149.38 / $592.17	Professional		$96.03	$149.38	$592.17
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 $138.71 / $138.71 / $138.71	Professional		$138.71	$138.71	$138.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $55.13 / $330.03	Professional		$51.00	$55.13	$330.03
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $116.98	Professional		$106.70	$106.70	$116.98