Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $41.30 / $56.72	Facility		$17.78	$41.30	$56.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $16.93 / $41.30	Professional		$10.94	$16.93	$41.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $65.86 / $217.03	Facility		$29.94	$65.86	$217.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.25 / $15.90	Professional		$3.50	$14.25	$15.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $50.33 / $95.30	Facility		$21.57	$50.33	$95.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.19 / $31.61	Professional		$13.49	$25.19	$31.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $31.63 / $63.30	Professional		$21.68	$31.63	$63.30
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 $26.85 / $26.85 / $26.85	Professional		$26.85	$26.85	$26.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.58 / $25.81	Professional		$7.58	$10.58	$25.81
United Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $34.61	Facility		$34.61	$34.61	$34.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $12.66 / $20.65	Professional		$8.67	$12.66	$20.65