Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $38.65 / $38.65	Facility		$38.65	$38.65	$38.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $38.65 / $64.06	Professional		$34.04	$38.65	$64.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $376.00 / $820.10	Facility		$103.07	$376.00	$820.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $59.35 / $59.35	Professional		$51.86	$59.35	$59.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $85.48	Facility		$62.01	$62.01	$85.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $62.01 / $90.38	Professional		$52.71	$62.01	$90.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $119.04 / $146.72	Professional		$78.09	$119.04	$146.72
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 $101.52 / $101.52 / $101.52	Professional		$101.52	$101.52	$101.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.41 / $47.73 / $50.11	Professional		$33.41	$47.73	$50.11
United Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $48.63 / $78.09	Facility		$46.00	$48.63	$78.09
United Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $38.96 / $68.98	Professional		$29.73	$38.96	$68.98