Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $22.43 / $39.11	Professional		$12.75	$22.43	$39.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $28.23 / $45.15	Professional		$17.22	$28.23	$45.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $27.36 / $42.80	Professional		$15.86	$27.36	$42.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $38.56 / $76.20	Professional		$19.98	$38.56	$76.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $18.57 / $35.89	Professional		$17.46	$18.57	$35.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $41.42	Professional		$32.34	$32.34	$41.42
United Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $28.83 / $48.64	Professional		$20.58	$28.83	$48.64