Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.80 / $59.51 / $116.10	Facility		$41.80	$59.51	$116.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $48.44 / $69.01	Professional		$37.31	$48.44	$69.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $423.43 / $985.04	Facility		$51.30	$423.43	$985.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $64.51 / $107.70	Professional		$40.63	$64.51	$107.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $61.88 / $99.45	Professional		$39.84	$61.88	$99.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $71.79 / $259.16	Professional		$42.54	$71.79	$259.16
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 $41.68 / $44.24 / $69.13	Professional		$41.68	$44.24	$69.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $78.17	Professional		$32.34	$32.34	$78.17
United Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $66.17 / $104.25	Professional		$46.45	$66.17	$104.25