Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $79.20 / $134.22	Facility		$42.13	$79.20	$134.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $60.13 / $90.00	Facility		$19.11	$60.13	$90.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $51.43 / $51.43	Professional		$3.50	$51.43	$51.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.68 / $123.02 / $236.76	Facility		$35.68	$123.02	$236.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $59.10 / $73.88	Professional		$42.13	$59.10	$73.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $72.00 / $120.00	Professional		$51.43	$72.00	$120.00
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 $66.86 / $66.86 / $66.86	Professional		$66.86	$66.86	$66.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $30.00 / $64.29	Professional		$25.72	$30.00	$64.29
United Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $25.33 / $44.56	Professional		$18.43	$25.33	$44.56