Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.89 / $100.58 / $100.58	Facility		$68.89	$100.58	$100.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $68.84 / $100.58	Professional		$57.22	$68.84	$100.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.61 / $944.64 / $1,891.64	Facility		$441.61	$944.64	$1,891.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $106.49 / $148.97	Professional		$67.06	$106.49	$148.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,462.00 / $13,165.00 / $13,389.00	Facility		$7,462.00	$13,165.00	$13,389.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $89.06 / $117.08	Professional		$60.17	$89.06	$117.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $93.74 / $418.81	Professional		$61.69	$93.74	$418.81
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 $61.00 / $70.47 / $78.62	Professional		$61.00	$70.47	$78.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $88.91	Professional		$32.34	$32.34	$88.91
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,705.00	Facility		$165.00	$963.00	$3,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $89.57 / $150.51	Professional		$64.23	$89.57	$150.51