Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $60.37 / $261.00	Facility		$30.94	$60.37	$261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $29.05 / $37.72	Professional		$10.50	$29.05	$37.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $158.61 / $549.91	Facility		$49.80	$158.61	$549.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $26.03 / $29.05	Professional		$3.50	$26.03	$29.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $90.23 / $174.22	Facility		$15.59	$90.23	$174.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $43.37 / $55.07	Professional		$17.26	$43.37	$55.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $60.37 / $658.80	Professional		$37.72	$60.37	$658.80
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 $49.05 / $49.05 / $49.05	Professional		$49.05	$49.05	$49.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $25.88 / $47.16	Professional		$18.87	$25.88	$47.16
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $25.31	Professional		$5.05	$7.23	$25.31