Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $36.11 / $49.65	Facility		$15.55	$36.11	$49.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $15.53 / $22.96	Professional		$9.57	$15.53	$22.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $57.63 / $189.87	Facility		$26.18	$57.63	$189.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.46 / $13.91	Professional		$3.50	$12.46	$13.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $44.35 / $83.39	Facility		$18.87	$44.35	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $21.89 / $27.61	Professional		$11.80	$21.89	$27.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $31.61 / $232.51	Professional		$18.42	$31.61	$232.51
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 $23.48 / $23.48 / $23.48	Professional		$23.48	$23.48	$23.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $9.93 / $13.27	Professional		$5.90	$9.93	$13.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.88 / $25.23	Professional		$7.59	$13.88	$25.23