Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.76 / $63.61 / $127.91	Facility		$51.76	$63.61	$127.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $55.31 / $62.13	Professional		$47.64	$55.31	$62.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.40 / $203.92 / $858.07	Facility		$118.40	$203.92	$858.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $174.31	Facility		$85.00	$85.00	$174.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $67.79 / $103.30	Professional		$62.13	$67.79	$103.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $157.47 / $186.30	Professional		$89.55	$157.47	$186.30
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $76.01 / $81.36	Professional		$73.09	$76.01	$81.36