Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.51 / $59.51 / $59.51	Facility		$59.51	$59.51	$59.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $60.32 / $92.63	Professional		$46.55	$60.32	$92.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.84 / $557.53 / $1,216.04	Facility		$152.84	$557.53	$1,216.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $88.00 / $88.00	Professional		$76.89	$88.00	$88.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $126.74	Facility		$70.70	$70.70	$126.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $70.70 / $134.25	Professional		$51.62	$70.70	$134.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $133.56 / $162.11	Professional		$105.77	$133.56	$162.11
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 $150.53 / $150.53 / $150.53	Professional		$150.53	$150.53	$150.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $87.28 / $91.64	Professional		$61.09	$87.28	$91.64
United Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $57.77 / $102.29	Professional		$43.02	$57.77	$102.29