Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.80 / $61.16 / $71.80	Facility		$42.80	$61.16	$71.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $41.88 / $59.84	Professional		$37.99	$41.88	$59.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.86 / $369.76 / $740.44	Facility		$172.86	$369.76	$740.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $56.61 / $78.42	Professional		$36.90	$56.61	$78.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $62.39 / $164.38	Professional		$43.44	$62.39	$164.38
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 $50.88 / $51.34 / $54.52	Professional		$50.88	$51.34	$54.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.91	Professional		$32.34	$32.34	$62.91
United Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $58.54 / $58.54	Facility		$58.54	$58.54	$58.54
United Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $54.38 / $96.53	Professional		$40.03	$54.38	$96.53