Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $33.60 / $46.16	Facility		$14.45	$33.60	$46.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $13.78 / $33.60	Professional		$12.94	$13.78	$33.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $41.16 / $176.63	Facility		$23.25	$41.16	$176.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $40.19 / $77.43	Facility		$13.76	$40.19	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $19.41 / $25.81	Professional		$8.60	$19.41	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $25.70 / $102.56	Professional		$17.14	$25.70	$102.56
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 $21.84 / $21.84 / $21.84	Professional		$21.84	$21.84	$21.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $9.24 / $21.00	Professional		$5.67	$9.24	$21.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $17.64 / $41.50	Facility		$16.80	$17.64	$41.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $17.30	Professional		$7.06	$10.08	$17.30