Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $68.84 / $88.56	Facility		$33.17	$68.84	$88.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $31.63 / $49.03	Professional		$19.28	$31.63	$49.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.06 / $166.71 / $510.24	Facility		$52.06	$166.71	$510.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $29.70 / $29.70	Professional		$3.50	$29.70	$29.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $92.26 / $177.20	Facility		$26.95	$92.26	$177.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $42.43 / $56.12	Professional		$9.24	$42.43	$56.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $54.38 / $107.54	Professional		$38.57	$54.38	$107.54
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 $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $26.46 / $48.21	Professional		$14.17	$26.46	$48.21
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $16.20 / $38.57	Professional		$10.62	$16.20	$38.57