Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $81.40 / $221.69	Facility		$30.97	$81.40	$221.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.04 / $23.38	Professional		$16.78	$23.04	$23.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $82.32 / $271.22	Facility		$37.42	$82.32	$271.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.80 / $19.87	Professional		$3.50	$17.80	$19.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $63.11 / $119.13	Facility		$26.96	$63.11	$119.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $31.39 / $39.61	Professional		$16.86	$31.39	$39.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $49.92 / $212.31	Professional		$27.10	$49.92	$212.31
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 $33.54 / $33.54 / $33.54	Professional		$33.54	$33.54	$33.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $14.20 / $32.26	Professional		$6.51	$14.20	$32.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $19.34 / $26.58	Professional		$10.84	$19.34	$26.58