Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $68.79 / $102.60	Facility		$32.22	$68.79	$102.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $35.75 / $47.17	Professional		$31.45	$35.75	$47.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.06 / $166.48 / $520.03	Facility		$53.06	$166.48	$520.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $27.12 / $30.27	Professional		$3.50	$27.12	$30.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $87.45 / $181.67	Facility		$46.68	$87.45	$181.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $54.02 / $66.61	Professional		$20.19	$54.02	$66.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $71.15 / $183.19	Professional		$43.24	$71.15	$183.19
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 $51.10 / $51.10 / $51.10	Professional		$51.10	$51.10	$51.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $53.46 / $58.97	Professional		$28.89	$53.46	$58.97
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $39.31	Professional		$16.51	$23.59	$39.31