Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $82.69 / $123.32	Facility		$38.75	$82.69	$123.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $38.75 / $52.31	Professional		$32.50	$38.75	$52.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.78 / $204.22 / $625.00	Facility		$63.78	$204.22	$625.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $32.60 / $36.38	Professional		$3.50	$32.60	$36.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.54 / $104.94 / $217.40	Facility		$59.54	$104.94	$217.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $57.35 / $79.70	Professional		$24.16	$57.35	$79.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $82.69 / $192.00	Professional		$51.98	$82.69	$192.00
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 $61.43 / $61.43 / $61.43	Professional		$61.43	$61.43	$61.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $64.26 / $70.88	Professional		$29.50	$64.26	$70.88
United Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $49.61 / $116.71	Facility		$47.25	$49.61	$116.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.35 / $47.25	Professional		$19.85	$28.35	$47.25