Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.32 / $30.98 / $46.47	Facility		$13.32	$30.98	$46.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $13.32 / $28.80	Professional		$8.21	$13.32	$28.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $49.39 / $162.84	Facility		$22.46	$49.39	$162.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.69 / $11.93	Professional		$3.50	$10.69	$11.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $37.52 / $71.48	Facility		$16.19	$37.52	$71.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $19.00 / $23.75	Professional		$10.11	$19.00	$23.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $29.96 / $141.72	Professional		$16.26	$29.96	$141.72
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 $20.14 / $20.14 / $20.14	Professional		$20.14	$20.14	$20.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $10.63 / $19.36	Professional		$7.75	$10.63	$19.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $9.28 / $15.95	Professional		$6.51	$9.28	$15.95