Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $75.50 / $119.29	Facility		$43.43	$75.50	$119.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $34.74 / $79.48	Professional		$20.04	$34.74	$79.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $60.80 / $76.87	Facility		$50.81	$60.80	$76.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $66.01	Professional		$43.43	$43.43	$66.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $105.75 / $199.54	Facility		$55.25	$105.75	$199.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $52.97 / $63.47	Professional		$52.12	$52.97	$63.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $62.97 / $110.57	Professional		$45.60	$62.97	$110.57
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 $59.06 / $59.06 / $65.15	Professional		$59.06	$59.06	$65.15
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $26.06 / $73.13	Professional		$18.23	$26.06	$73.13