Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $73.20 / $117.69	Facility		$38.86	$73.20	$117.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $36.40 / $74.97	Professional		$32.99	$36.40	$74.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $119.50 / $507.30	Facility		$59.97	$119.50	$507.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $29.56 / $32.99	Professional		$3.50	$29.56	$32.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $104.90 / $196.56	Facility		$54.42	$104.90	$196.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $52.10 / $87.53	Professional		$21.84	$52.10	$87.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $83.79 / $283.60	Professional		$47.34	$83.79	$283.60
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 $55.69 / $55.69 / $55.69	Professional		$55.69	$55.69	$55.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $58.26 / $64.26	Professional		$19.32	$58.26	$64.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $27.85 / $53.47	Professional		$17.98	$27.85	$53.47