Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $41.41 / $73.73	Facility		$41.41	$41.41	$73.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $45.19 / $64.63	Professional		$34.39	$45.19	$64.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $232.80 / $844.96	Facility		$84.80	$232.80	$844.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $73.73 / $101.70	Professional		$57.60	$73.73	$101.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $75.64	Professional		$30.08	$30.08	$75.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $82.76 / $178.65	Professional		$62.67	$82.76	$178.65
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 $95.85 / $95.85 / $95.85	Professional		$95.85	$95.85	$95.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $103.22 / $110.60	Professional		$100.27	$103.22	$110.60
United Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $36.79 / $61.31	Professional		$26.06	$36.79	$61.31