Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $40.20 / $125.16	Facility		$19.23	$40.20	$125.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $17.80 / $21.66	Professional		$13.98	$17.80	$21.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $265.98 / $522.10	Facility		$165.92	$265.98	$522.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $24.59 / $33.92	Professional		$22.67	$24.59	$33.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $48.98 / $84.65	Facility		$1.44	$48.98	$84.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $15.88 / $27.85	Professional		$7.57	$15.88	$27.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $17.64 / $68.69	Professional		$12.34	$17.64	$68.69
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 $14.34 / $14.39 / $15.85	Professional		$14.34	$14.39	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $8.19 / $2,500.00	Professional		$4.09	$8.19	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $10.16 / $20.50	Professional		$8.33	$10.16	$20.50