Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $37.46 / $37.46	Facility		$37.46	$37.46	$37.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $37.46 / $61.08	Professional		$28.80	$37.46	$61.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $147.94 / $627.03	Facility		$87.45	$147.94	$627.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $55.39 / $55.39	Professional		$44.84	$55.39	$55.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $102.30	Facility		$43.58	$43.58	$102.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $43.58 / $84.38	Professional		$31.81	$43.58	$84.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $86.73 / $105.68	Professional		$66.78	$86.73	$105.68
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 $94.74 / $94.74 / $94.74	Professional		$94.74	$94.74	$94.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $54.94 / $57.68	Professional		$38.45	$54.94	$57.68
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $36.36 / $64.38	Professional		$29.00	$36.36	$64.38