Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $76.29 / $149.04	Facility		$44.11	$76.29	$149.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $44.49 / $55.57	Professional		$44.10	$44.49	$55.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $89.62 / $568.33	Facility		$30.81	$89.62	$568.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Facility		$44.11	$44.11	$44.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $66.95 / $104.06	Professional		$39.42	$66.95	$104.06
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 $57.34 / $57.34 / $57.34	Professional		$57.34	$57.34	$57.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $45.54 / $55.57	Professional		$44.32	$45.54	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $58.97	Professional		$44.11	$44.11	$58.97