Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $125.89 / $181.97	Facility		$117.49	$125.89	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $151.36	Professional		$95.50	$120.23	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $275.42	Facility		$165.96	$208.93	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $186.21	Professional		$147.91	$154.88	$186.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $346.74	Professional		$120.23	$169.82	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $128.82	Professional		$125.89	$125.89	$128.82