Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $52.15 / $80.27	Facility		$23.96	$52.15	$80.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $24.25 / $37.14	Professional		$22.50	$24.25	$37.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.44 / $125.77 / $386.55	Facility		$39.44	$125.77	$386.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.16 / $22.50	Professional		$3.50	$20.16	$22.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $64.86 / $134.02	Facility		$36.97	$64.86	$134.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $31.61 / $49.14	Professional		$13.56	$31.61	$49.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $52.01 / $83.91	Professional		$32.14	$52.01	$83.91
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 $37.99 / $37.99 / $37.99	Professional		$37.99	$37.99	$37.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $21.47 / $43.83	Professional		$9.18	$21.47	$43.83
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $17.53 / $30.71	Professional		$12.27	$17.53	$30.71