Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $43.65 / $67.61	Facility		$28.84	$43.65	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $97.72	Professional		$23.99	$32.36	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $323.59 / $794.33	Facility		$117.49	$323.59	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $53.70	Professional		$28.84	$45.71	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,513.56	Facility		$724.44	$1,071.52	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $85.11	Professional		$26.30	$41.69	$85.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $61.66 / $416.87	Professional		$28.18	$61.66	$416.87
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 $30.20 / $31.62 / $33.88	Professional		$30.20	$31.62	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $1,288.25 / $1,905.46	Facility		$46.77	$1,288.25	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $72.44	Professional		$27.54	$43.65	$72.44