Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $79.43	Facility		$39.81	$39.81	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $70.79	Professional		$33.11	$39.81	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $537.03	Facility		$93.33	$151.36	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $58.88	Professional		$50.12	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $87.10	Facility		$43.65	$43.65	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $85.11	Professional		$31.62	$31.62	$85.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $194.98 / $257.04	Professional		$77.62	$194.98	$257.04
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 $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $58.88	Professional		$41.69	$41.69	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $63.10 / $114.82	Facility		$29.51	$63.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $60.26	Professional		$28.84	$38.90	$60.26