Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $115.88 / $599.16	Facility		$38.97	$115.88	$599.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $54.47 / $98.97	Professional		$23.47	$54.47	$98.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $131.72 / $354.97	Facility		$76.80	$131.72	$354.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $54.80 / $80.79	Professional		$26.03	$54.80	$80.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $59.94 / $117.42	Professional		$25.95	$59.94	$117.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $69.72 / $173.87	Professional		$27.38	$69.72	$173.87
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 $28.69 / $29.67 / $77.92	Professional		$28.69	$29.67	$77.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $88.11	Professional		$32.34	$32.34	$88.11
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $92.58 / $151.22	Professional		$68.20	$92.58	$151.22