Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $95.50	Facility		$47.86	$47.86	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $85.11	Professional		$34.67	$46.77	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $645.65	Facility		$114.82	$181.97	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $72.44	Professional		$61.66	$72.44	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Facility		$52.48	$52.48	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $93.33	Professional		$38.90	$38.90	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $128.82	Professional		$72.44	$93.33	$128.82
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 $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $75.86 / $117.49	Facility		$30.20	$75.86	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $64.57	Professional		$30.20	$46.77	$64.57