Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $10.90 / $10.90	Facility		$10.90	$10.90	$10.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $17.76 / $50.23	Professional		$10.90	$17.76	$50.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $56.14 / $72.41	Facility		$47.04	$56.14	$72.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $53.32 / $111.05	Facility		$48.63	$53.32	$111.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $15.20 / $55.55	Professional		$11.08	$15.20	$55.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $16.23 / $30.05	Professional		$12.55	$16.23	$30.05
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 $13.05 / $13.08 / $15.07	Professional		$13.05	$13.08	$15.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $48.46 / $73.22	Professional		$35.83	$48.46	$73.22