Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $43.67 / $105.68	Facility		$31.19	$43.67	$105.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $36.47 / $62.30	Professional		$30.35	$36.47	$62.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $127.83 / $466.55	Facility		$59.20	$127.83	$466.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $33.14 / $33.14	Facility		$33.14	$33.14	$33.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $33.14 / $33.14	Professional		$33.14	$33.14	$33.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $46.13 / $79.00	Professional		$30.22	$46.13	$79.00
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 $38.86 / $39.35 / $42.84	Professional		$38.86	$39.35	$42.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $17.54 / $31.50	Professional		$17.54	$17.54	$31.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $35.39 / $36.59	Professional		$29.99	$35.39	$36.59