Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $35.15 / $64.98	Facility		$17.48	$35.15	$64.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $31.26 / $54.35	Professional		$16.84	$31.26	$54.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3.57 / $3.57 / $82.53	Professional	50	$3.57	$3.57	$82.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.85 / $171.40 / $356.23	Facility		$86.85	$171.40	$356.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $33.11 / $57.46	Professional		$20.51	$33.11	$57.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $37.84 / $68.88	Professional		$20.94	$37.84	$68.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $46.80 / $131.26	Professional		$25.14	$46.80	$131.26
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 $21.91 / $22.54 / $38.43	Professional		$21.91	$22.54	$38.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $44.34	Professional		$32.34	$32.34	$44.34
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $50.87 / $79.04	Professional		$28.26	$50.87	$79.04