Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $62.11 / $95.61	Facility		$28.54	$62.11	$95.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $29.59 / $60.92	Professional		$26.80	$29.59	$60.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $92.72 / $380.51	Facility		$47.68	$92.72	$380.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $24.02 / $26.80	Professional		$3.50	$24.02	$26.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.04 / $79.26 / $160.82	Facility		$44.04	$79.26	$160.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $42.46 / $68.80	Professional		$17.87	$42.46	$68.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $65.15 / $209.61	Professional		$40.03	$65.15	$209.61
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 $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $43.99 / $52.22	Professional		$18.27	$43.99	$52.22
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.52 / $60.60	Professional		$20.89	$37.52	$60.60