Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $43.62 / $629.29	Facility		$20.97	$43.62	$629.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $14.91 / $24.82	Professional		$11.93	$14.91	$24.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $62.04 / $169.62	Facility		$25.16	$62.04	$169.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.86 / $14.35	Professional		$3.50	$12.86	$14.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $44.60 / $86.37	Facility		$15.10	$44.60	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $21.48 / $28.40	Professional		$9.65	$21.48	$28.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $29.31 / $150.00	Professional		$20.50	$29.31	$150.00
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 $24.23 / $24.23 / $24.23	Professional		$24.23	$24.23	$24.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $12.79 / $23.30	Professional		$9.32	$12.79	$23.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $18.64	Professional		$7.83	$11.18	$18.64