Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $31.93 / $31.93	Facility		$31.93	$31.93	$31.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $32.52 / $52.57	Professional		$26.25	$32.52	$52.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $126.43 / $534.52	Facility		$74.73	$126.43	$534.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $47.22 / $47.22	Professional		$41.26	$47.22	$47.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $68.56	Facility		$38.57	$38.57	$68.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $72.72	Professional		$28.16	$28.16	$72.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $72.34 / $90.09	Professional		$57.79	$72.34	$90.09
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 $80.77 / $80.77 / $80.77	Professional		$80.77	$80.77	$80.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $46.83 / $49.17	Professional		$32.78	$46.83	$49.17
United Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $28.82 / $33.65	Facility		$21.96	$28.82	$33.65
United Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $31.00 / $62.17	Professional		$24.24	$31.00	$62.17