Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $64.09 / $95.58	Facility		$30.03	$64.09	$95.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $32.50 / $43.94	Professional		$29.30	$32.50	$43.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.43 / $158.27 / $484.47	Facility		$49.43	$158.27	$484.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $25.27 / $28.20	Professional		$3.50	$25.27	$28.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $81.04 / $168.27	Facility		$40.31	$81.04	$168.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $50.48 / $61.70	Professional		$18.70	$50.48	$61.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $62.25 / $158.91	Professional		$40.28	$62.25	$158.91
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 $47.61 / $47.61 / $47.61	Professional		$47.61	$47.61	$47.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $49.80 / $54.93	Professional		$26.91	$49.80	$54.93
United Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $73.23 / $73.23	Facility		$15.38	$73.23	$73.23
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.97 / $38.49	Professional		$15.38	$21.97	$38.49