Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $135.94 / $236.22	Facility		$67.14	$135.94	$236.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $67.14 / $83.58	Professional		$67.14	$67.14	$83.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.82 / $1,963.65 / $4,796.85	Facility		$701.82	$1,963.65	$4,796.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $125.32 / $238.73	Professional		$106.52	$125.32	$238.73
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 $162.91 / $162.91 / $162.91	Professional		$162.91	$162.91	$162.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $131.58 / $378.79	Professional		$128.02	$131.58	$378.79
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $62.39	Professional		$46.67	$46.67	$62.39