Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.56 / $268.56 / $268.56	Facility		$268.56	$268.56	$268.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $268.56 / $358.08	Professional		$143.10	$268.56	$358.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $33.79 / $33.79	Professional		$17.95	$33.79	$33.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $558.75	Professional		$66.81	$66.81	$558.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $52.65 / $200.00	Professional		$32.07	$52.65	$200.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $29.04	Professional		$19.36	$19.36	$29.04
United Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $23.17 / $46.19	Professional		$16.82	$23.17	$46.19