Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $41.90 / $81.53	Facility		$41.90	$41.90	$81.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $41.90 / $61.70	Professional		$31.15	$41.90	$61.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $164.09 / $701.46	Facility		$96.99	$164.09	$701.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $61.96 / $61.96	Professional		$43.79	$61.96	$61.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $86.35	Facility		$36.72	$36.72	$86.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $94.50	Professional		$26.81	$36.72	$94.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $82.00 / $113.62	Professional		$66.80	$82.00	$113.62
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 $105.99 / $105.99 / $105.99	Professional		$105.99	$105.99	$105.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $47.07 / $49.42	Professional		$32.94	$47.07	$49.42
United Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $40.02 / $71.42	Professional		$28.04	$40.02	$71.42