Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $40.40 / $80.19	Facility		$17.37	$40.40	$80.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.37 / $25.67	Professional		$15.00	$17.37	$25.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $65.86 / $212.25	Facility		$29.76	$65.86	$212.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.55 / $15.55	Professional		$3.50	$15.55	$15.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $49.47 / $92.32	Facility		$21.11	$49.47	$92.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $24.78 / $30.98	Professional		$13.20	$24.78	$30.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $35.35 / $119.35	Professional		$21.21	$35.35	$119.35
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 $26.26 / $26.26 / $26.26	Professional		$26.26	$26.26	$26.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $11.11 / $25.25	Professional		$7.87	$11.11	$25.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $12.12 / $20.81	Professional		$8.48	$12.12	$20.81