Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $84.56 / $114.12	Professional		$72.77	$84.56	$114.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $99.10 / $134.25	Professional		$87.54	$99.10	$134.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $104.52 / $163.15	Professional		$58.34	$104.52	$163.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $106.57 / $246.01	Professional		$66.91	$106.57	$246.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $117.10 / $130.62	Professional		$32.34	$117.10	$130.62
United Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $87.54 / $159.51	Professional		$69.06	$87.54	$159.51