Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $111.78 / $127.63	Facility		$48.12	$111.78	$127.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $48.07 / $92.92	Professional		$45.83	$48.07	$92.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $89.98 / $587.49	Facility		$41.86	$89.98	$587.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $40.89 / $43.04	Professional		$3.50	$40.89	$43.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $133.69 / $257.61	Facility		$57.56	$133.69	$257.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $68.15 / $85.19	Professional		$32.11	$68.15	$85.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $89.42 / $192.07	Professional		$50.77	$89.42	$192.07
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 $72.66 / $72.66 / $72.66	Professional		$72.66	$72.66	$72.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $30.74 / $69.86	Professional		$20.53	$30.74	$69.86
United Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $33.53 / $57.57	Professional		$17.67	$33.53	$57.57