Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $60.16 / $60.16	Facility		$60.16	$60.16	$60.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $60.16 / $93.63	Professional		$48.17	$60.16	$93.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $236.72 / $1,007.05	Facility		$139.91	$236.72	$1,007.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $88.95 / $88.95	Professional		$75.44	$88.95	$88.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $128.74	Facility		$75.70	$75.70	$128.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $137.11	Professional		$55.27	$55.27	$137.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $134.66 / $165.77	Professional		$107.81	$134.66	$165.77
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 $152.15 / $152.15 / $152.15	Professional		$152.15	$152.15	$152.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $88.22 / $92.63	Professional		$61.75	$88.22	$92.63
United Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $58.39 / $103.39	Professional		$48.58	$58.39	$103.39