Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $25.69 / $93.96	Facility		$10.89	$25.69	$93.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $18.53 / $38.06	Professional		$10.65	$18.53	$38.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $112.20 / $254.64	Facility		$65.20	$112.20	$254.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $22.44 / $38.67	Professional		$12.81	$22.44	$38.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $25.65 / $46.03	Professional		$13.05	$25.65	$46.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $31.47 / $86.02	Professional		$15.79	$31.47	$86.02
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 $13.21 / $13.98 / $26.05	Professional		$13.21	$13.98	$26.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $32.34 / $32.34	Professional		$25.79	$32.34	$32.34
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 $17.54 / $32.34 / $50.53	Professional		$17.54	$32.34	$50.53