Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $41.11 / $5,389.00	Facility		$18.00	$41.11	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $15.68 / $29.43	Professional		$13.86	$15.68	$29.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $56.49 / $189.18	Facility		$26.10	$56.49	$189.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.42 / $13.86	Professional		$3.50	$12.42	$13.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $44.17 / $83.39	Facility		$18.80	$44.17	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $21.89 / $27.61	Professional		$11.76	$21.89	$27.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $31.50 / $128.66	Professional		$18.89	$31.50	$128.66
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 $23.40 / $23.40 / $23.40	Professional		$23.40	$23.40	$23.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $12.35 / $22.50	Professional		$9.00	$12.35	$22.50
United Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $12.35 / $18.00	Facility		$12.35	$12.35	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $12.07 / $18.54	Professional		$7.56	$12.07	$18.54