Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $85.11 / $154.88	Facility		$43.65	$85.11	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $154.88	Professional		$39.81	$77.62	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $251.19 / $645.65	Facility		$120.23	$251.19	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $177.83	Professional		$53.70	$91.20	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $158.49	Professional		$46.77	$87.10	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $239.88	Professional		$60.26	$131.83	$239.88
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 $51.29 / $56.23 / $123.03	Professional		$51.29	$56.23	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $691.83 / $2,187.76	Facility		$131.83	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $138.04	Professional		$45.71	$79.43	$138.04