Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $53.30 / $79.95	Facility		$22.94	$53.30	$79.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $21.85 / $25.65	Professional		$20.52	$21.85	$25.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $79.58 / $274.14	Facility		$37.31	$79.58	$274.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.39 / $20.52	Professional		$3.50	$18.39	$20.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $63.74 / $122.10	Facility		$25.98	$63.74	$122.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $32.63 / $40.79	Professional		$16.07	$32.63	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $46.64 / $125.00	Professional		$27.98	$46.64	$125.00
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 $34.65 / $34.65 / $34.65	Professional		$34.65	$34.65	$34.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $9.79 / $26.65	Professional		$0.67	$9.79	$26.65
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $16.98 / $28.72	Professional		$11.19	$16.98	$28.72