Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.95 / $87.45 / $125.12	Facility		$63.95	$87.45	$125.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $71.20 / $90.80	Professional		$59.14	$71.20	$90.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.56 / $934.53 / $1,810.22	Facility		$349.56	$934.53	$1,810.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $82.59 / $96.01	Professional		$71.87	$82.59	$96.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $107.80 / $143.18	Professional		$79.77	$107.80	$143.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $96.86 / $204.95	Professional		$68.03	$96.86	$204.95
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 $90.22 / $93.43 / $112.44	Professional		$90.22	$93.43	$112.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.16 / $117.63	Professional		$32.34	$82.16	$117.63
United Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $105.69 / $152.94	Professional		$72.64	$105.69	$152.94