Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $52.24 / $158.02	Facility		$51.81	$52.24	$158.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $43.95 / $59.12	Professional		$19.96	$43.95	$59.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.80 / $108.41 / $729.81	Facility		$52.80	$108.41	$729.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $63.26 / $64.12	Professional		$62.35	$63.26	$64.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $108.00	Facility		$55.00	$70.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $68.15 / $113.94	Professional		$24.25	$68.15	$113.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $76.89 / $121.00	Professional		$48.53	$76.89	$121.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $75.86 / $80.54	Professional		$73.68	$75.86	$80.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.73	Professional		$32.34	$32.34	$86.73
United Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $44.68 / $56.03	Professional		$24.56	$44.68	$56.03