Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $62.32	Facility		$35.00	$35.00	$62.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $36.01 / $54.57	Professional		$25.80	$36.01	$54.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $157.46 / $546.30	Facility		$75.20	$157.46	$546.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $46.74 / $46.74	Professional		$36.52	$46.74	$46.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $25.43 / $25.43	Professional		$21.50	$25.43	$25.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $65.28 / $150.25	Professional		$49.86	$65.28	$150.25
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 $80.61 / $80.61 / $81.02	Professional		$80.61	$80.61	$81.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $87.25 / $93.48	Professional		$28.56	$87.25	$93.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $31.09 / $54.60	Professional		$23.73	$31.09	$54.60