Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $79.43	Facility		$38.02	$38.02	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $79.43	Professional		$36.31	$41.69	$79.43
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 $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $95.50	Facility		$48.98	$48.98	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $91.20	Professional		$35.48	$35.48	$91.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $134.90	Professional		$70.79	$107.15	$134.90
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 $40.74 / $40.74 / $58.88	Professional		$40.74	$40.74	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $63.10 / $125.89	Facility		$51.29	$63.10	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $64.57	Professional		$32.36	$38.90	$64.57