Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $104.39 / $152.66	Facility		$47.96	$104.39	$152.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $47.96 / $74.34	Professional		$29.25	$47.96	$74.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $252.83 / $773.78	Facility		$78.95	$252.83	$773.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $40.36 / $45.04	Professional		$3.50	$40.36	$45.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $130.01 / $269.52	Facility		$51.93	$130.01	$269.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $71.36 / $98.82	Professional		$29.95	$71.36	$98.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $102.36 / $172.62	Professional		$64.34	$102.36	$172.62
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 $76.04 / $76.04 / $76.04	Professional		$76.04	$76.04	$76.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $79.55 / $87.74	Professional		$29.50	$79.55	$87.74
United Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $70.19 / $70.19	Facility		$70.19	$70.19	$70.19
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $35.09 / $60.24	Professional		$24.57	$35.09	$60.24