Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $77.37 / $113.93	Facility		$35.79	$77.37	$113.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $39.29 / $52.38	Professional		$34.04	$39.29	$52.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $232.94 / $577.41	Facility		$59.80	$232.94	$577.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $30.12 / $33.61	Professional		$3.50	$30.12	$33.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $106.61 / $201.02	Facility		$55.25	$106.61	$201.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $53.95 / $79.52	Professional		$22.65	$53.95	$79.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $79.01 / $350.53	Professional		$48.02	$79.01	$350.53
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 $56.75 / $56.75 / $56.75	Professional		$56.75	$56.75	$56.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $59.36 / $65.48	Professional		$29.50	$59.36	$65.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $27.81 / $50.97	Professional		$18.32	$27.81	$50.97