Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $45.68 / $142.08	Facility		$45.68	$45.68	$142.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $46.29 / $71.09	Professional		$35.69	$46.29	$71.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.53 / $180.23 / $764.62	Facility		$106.53	$180.23	$764.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $67.54 / $67.54	Professional		$54.68	$67.54	$67.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $97.26	Facility		$56.02	$56.02	$97.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $104.16	Professional		$40.89	$40.89	$104.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $102.20 / $133.62	Professional		$80.11	$102.20	$133.62
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 $115.53 / $115.53 / $115.53	Professional		$115.53	$115.53	$115.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $66.98 / $70.32	Professional		$46.88	$66.98	$70.32
United Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $44.33 / $78.50	Professional		$35.96	$44.33	$78.50