Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $83.18 / $109.60	Professional		$53.54	$83.18	$109.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $163.85 / $163.85	Professional		$87.38	$163.85	$163.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $128.02	Professional		$49.33	$49.33	$128.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $109.23 / $175.88	Professional		$84.95	$109.23	$175.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.55 / $152.91 / $2,500.00	Professional		$148.55	$152.91	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $52.80 / $74.09	Professional		$40.15	$52.80	$74.09