Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $81.28	Professional		$52.48	$64.57	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $199.53	Facility		$114.82	$162.18	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $54.95 / $61.66	Professional		$24.55	$54.95	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $134.90	Professional		$58.88	$85.11	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $104.71	Professional		$70.79	$81.28	$104.71
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $1,513.56	Professional		$30.20	$32.36	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $117.49	Professional		$53.70	$74.13	$117.49