Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $61.66 / $61.66	Facility		$41.69	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $58.88	Professional		$38.02	$41.69	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $371.54 / $707.95	Facility		$138.04	$371.54	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $79.43	Professional		$37.15	$56.23	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $169.82	Professional		$43.65	$64.57	$169.82
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 $51.29 / $51.29 / $54.95	Professional		$51.29	$51.29	$54.95
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 $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $87.10	Professional		$39.81	$53.70	$87.10