Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $48.08 / $121.31	Facility		$33.88	$48.08	$121.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.82 / $2,841.08	Professional		$33.88	$34.82	$2,841.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.90 / $161.38 / $769.68	Facility		$105.90	$161.38	$769.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $43.00 / $46.59	Professional		$41.25	$43.00	$46.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $44.74	Professional		$33.88	$33.88	$44.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $49.15 / $88.11	Professional		$33.88	$49.15	$88.11
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 $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $48.61 / $52.08	Professional		$34.72	$48.61	$52.08
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $36.63	Professional		$33.88	$33.88	$36.63