Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $52.15 / $77.78	Facility		$24.44	$52.15	$77.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $24.44 / $41.53	Professional		$22.95	$24.44	$41.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $57.50 / $313.26	Facility		$36.11	$57.50	$313.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.81 / $66.31 / $136.99	Facility		$37.81	$66.31	$136.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $34.61 / $50.23	Professional		$12.53	$34.61	$50.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $50.66 / $177.91	Professional		$32.93	$50.66	$177.91
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 $38.74 / $38.74 / $38.74	Professional		$38.74	$38.74	$38.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $40.53 / $44.70	Professional		$13.75	$40.53	$44.70
United Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $17.23 / $31.32	Professional		$12.52	$17.23	$31.32