Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $67.61	Facility		$38.90	$38.90	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $64.57	Professional		$33.88	$38.90	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $177.83 / $354.81	Facility		$120.23	$177.83	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $91.20	Professional		$50.12	$75.86	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $83.18	Facility		$44.67	$44.67	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $77.62	Professional		$38.02	$38.02	$77.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $223.87 / $295.12	Professional		$63.10	$223.87	$295.12
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 $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $72.44	Professional		$51.29	$51.29	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $52.48 / $67.61	Facility		$38.02	$52.48	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $40.74 / $89.13	Professional		$23.44	$40.74	$89.13