Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $63.14 / $105.12	Facility		$52.04	$63.14	$105.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.47 / $57.72	Professional		$52.04	$52.47	$57.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $209.19 / $873.17	Facility		$91.03	$209.19	$873.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $64.19 / $64.19	Professional		$56.85	$64.19	$64.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Facility		$52.47	$52.47	$52.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $60.73	Professional		$52.47	$52.47	$60.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $63.77 / $95.80	Professional		$50.92	$63.77	$95.80
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 $68.20 / $68.20 / $68.20	Professional		$68.20	$68.20	$68.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $71.29 / $76.38	Professional		$50.92	$71.29	$76.38
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $55.62 / $60.34	Professional		$52.47	$55.62	$60.34