Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $602.56	Facility		$42.66	$91.20	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $169.82	Professional		$38.02	$60.26	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $295.12 / $691.83	Facility		$138.04	$295.12	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $89.13	Professional		$45.71	$64.57	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $269.15	Facility		$141.25	$251.19	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $162.18	Professional		$45.71	$77.62	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $93.33 / $416.87	Professional		$48.98	$93.33	$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 $46.77 / $50.12 / $75.86	Professional		$46.77	$50.12	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $331.13	Facility		$141.25	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $138.04	Professional		$44.67	$81.28	$138.04