Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $79.91 / $143.56	Facility		$58.59	$79.91	$143.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $58.42 / $85.28	Professional		$43.56	$58.42	$85.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.78 / $175.63 / $920.21	Facility		$87.78	$175.63	$920.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $67.29 / $111.27	Professional		$21.30	$67.29	$111.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.78 / $121.48 / $416.73	Facility		$57.78	$121.48	$416.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $71.42 / $110.44	Professional		$44.64	$71.42	$110.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $98.16 / $275.92	Professional		$67.48	$98.16	$275.92
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 $72.22 / $74.14 / $79.76	Professional		$72.22	$74.14	$79.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $32.34 / $83.44	Professional		$23.15	$32.34	$83.44
United Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $68.86 / $105.37	Professional		$49.24	$68.86	$105.37