Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $74.34 / $129.02	Facility		$62.97	$74.34	$129.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.05 / $76.31	Professional		$61.44	$62.05	$76.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.17 / $280.68 / $1,338.58	Facility		$184.17	$280.68	$1,338.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $78.00 / $86.66	Professional		$76.73	$78.00	$86.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Facility		$61.44	$61.44	$61.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $81.14	Professional		$61.44	$61.44	$81.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $102.85 / $247.17	Professional		$61.44	$102.85	$247.17
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 $79.87 / $79.87 / $79.87	Professional		$79.87	$79.87	$79.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $88.09 / $94.38	Professional		$62.92	$88.09	$94.38
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.13 / $76.80	Professional		$61.44	$65.13	$76.80