Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.44 / $31.98 / $84.67	Facility		$22.44	$31.98	$84.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $22.85 / $35.61	Professional		$19.18	$22.85	$35.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.97 / $181.50 / $417.96	Facility		$86.97	$181.50	$417.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $26.88 / $26.88	Professional		$20.95	$26.88	$26.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $59.25	Facility		$38.15	$38.15	$59.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $38.15 / $54.87	Professional		$32.43	$38.15	$54.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $65.33 / $86.31	Professional		$35.36	$65.33	$86.31
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 $45.98 / $45.98 / $45.98	Professional		$45.98	$45.98	$45.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $43.14 / $45.29	Professional		$30.19	$43.14	$45.29
United Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $77.73 / $144.46	Facility		$35.36	$77.73	$144.46
United Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $33.11 / $58.64	Professional		$22.08	$33.11	$58.64