Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $50.65 / $78.78	Facility		$42.81	$50.65	$78.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $49.78 / $63.25	Professional		$40.01	$49.78	$63.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.56 / $512.13 / $992.01	Facility		$191.56	$512.13	$992.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $56.27 / $60.31	Professional		$47.42	$56.27	$60.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $72.38 / $98.37	Professional		$53.09	$72.38	$98.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $67.52 / $185.86	Professional		$45.35	$67.52	$185.86
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 $59.79 / $61.65 / $78.40	Professional		$59.79	$61.65	$78.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.58 / $88.66	Professional		$32.34	$57.58	$88.66
United Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $79.08 / $117.74	Professional		$56.60	$79.08	$117.74