Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $134.90	Professional		$72.44	$83.18	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $181.97	Facility		$95.50	$95.50	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $165.96	Professional		$81.28	$95.50	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $21.88	Professional		$11.48	$14.45	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $57.54 / $125.89	Facility		$6.76	$57.54	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $131.83	Professional		$58.88	$87.10	$131.83