Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $33.86	Facility		$33.86	$33.86	$33.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $33.86 / $56.33	Professional		$26.48	$33.86	$56.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $134.50 / $566.91	Facility		$79.50	$134.50	$566.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $50.08 / $50.08	Professional		$42.47	$50.08	$50.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $72.12	Facility		$36.78	$36.78	$72.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $26.85 / $77.27	Professional		$26.85	$26.85	$77.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $79.02 / $98.84	Professional		$63.26	$79.02	$98.84
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 $85.66 / $85.66 / $85.66	Professional		$85.66	$85.66	$85.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $49.67 / $52.15	Professional		$34.76	$49.67	$52.15
United Facility/Professional Facility Modifier Low / Median / High Price $65.89 / $94.18 / $175.01	Facility		$65.89	$94.18	$175.01
United Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $32.71 / $55.04	Professional		$24.47	$32.71	$55.04