Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.18 / $35.18 / $68.45	Facility		$35.18	$35.18	$68.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $35.83 / $54.76	Professional		$31.17	$35.83	$54.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $137.19 / $588.99	Facility		$81.09	$137.19	$588.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $52.02 / $52.02	Professional		$45.46	$52.02	$52.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $75.30	Facility		$42.77	$42.77	$75.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.77 / $79.50	Professional		$31.22	$42.77	$79.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $81.20 / $100.00	Professional		$65.01	$81.20	$100.00
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 $88.99 / $88.99 / $88.99	Professional		$88.99	$88.99	$88.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $51.60 / $54.18	Professional		$36.11	$51.60	$54.18
United Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $33.85 / $68.45	Facility		$23.13	$33.85	$68.45
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $34.15 / $59.96	Professional		$28.46	$34.15	$59.96