Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $86.88 / $133.94	Facility		$57.92	$86.88	$133.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $57.92 / $64.59	Professional		$57.92	$57.92	$64.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $233.90 / $960.99	Facility		$85.25	$233.90	$960.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $70.14	Professional		$61.54	$61.54	$70.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $133.25 / $164.00	Professional		$76.65	$133.25	$164.00
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $63.96 / $68.56	Professional		$60.34	$63.96	$68.56