Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $36.59 / $36.59	Facility		$36.59	$36.59	$36.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $36.59 / $49.21	Professional		$29.90	$36.59	$49.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.04 / $150.63 / $636.07	Facility		$89.04	$150.63	$636.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $56.19 / $56.19	Professional		$54.87	$56.19	$56.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $64.39	Facility		$37.25	$37.25	$64.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $37.25 / $85.88	Professional		$27.19	$37.25	$85.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $77.53 / $99.89	Professional		$63.19	$77.53	$99.89
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 $96.11 / $96.11 / $96.11	Professional		$96.11	$96.11	$96.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $42.68 / $44.81	Professional		$29.87	$42.68	$44.81
United Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $36.89 / $63.32	Professional		$24.59	$36.89	$63.32