Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.17 / $101.03 / $215.33	Facility		$96.17	$101.03	$215.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $111.13	Professional		$101.03	$101.03	$111.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.62 / $468.52 / $2,321.76	Facility		$306.62	$468.52	$2,321.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $119.39 / $125.36	Professional		$119.39	$119.39	$125.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $121.37	Professional		$101.03	$101.03	$121.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $128.31 / $226.37	Professional		$89.84	$128.31	$226.37
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 $131.34 / $131.34 / $131.34	Professional		$131.34	$131.34	$131.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $147.63 / $158.19	Professional		$111.53	$147.63	$158.19
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $114.80	Professional		$101.03	$101.03	$114.80