Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $44.37 / $74.84	Facility		$37.04	$44.37	$74.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.04 / $44.60	Professional		$36.67	$37.04	$44.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.51 / $290.39 / $739.79	Facility		$143.51	$290.39	$739.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Facility		$36.67	$36.67	$36.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $54.06	Professional		$36.67	$36.67	$54.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $53.20 / $308.97	Professional		$36.67	$53.20	$308.97
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 $47.67 / $47.67 / $47.67	Professional		$47.67	$47.67	$47.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $60.91 / $65.27	Professional		$43.51	$60.91	$65.27
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $38.86 / $45.84	Professional		$36.67	$38.86	$45.84