Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $98.12 / $169.68	Facility		$53.24	$98.12	$169.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $53.24 / $105.88	Professional		$39.20	$53.24	$105.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.06 / $684.64 / $1,370.99	Facility		$320.06	$684.64	$1,370.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $84.94 / $93.98	Professional		$64.81	$84.94	$93.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $78.12 / $109.94	Professional		$56.48	$78.12	$109.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $92.58 / $364.00	Professional		$60.87	$92.58	$364.00
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 $54.86 / $66.14 / $75.22	Professional		$54.86	$66.14	$75.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.79	Professional		$32.34	$32.34	$86.79
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $900.00 / $3,606.00	Facility		$204.00	$900.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $73.36 / $122.16	Professional		$50.98	$73.36	$122.16