Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $31.78 / $73.37	Facility		$15.50	$31.78	$73.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $14.04 / $22.19	Professional		$12.71	$14.04	$22.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $43.91 / $162.97	Facility		$22.47	$43.91	$162.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.70 / $11.94	Professional		$3.50	$10.70	$11.94
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 / $17.94 / $23.75	Professional		$10.11	$17.94	$23.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $27.13 / $216.32	Professional		$15.81	$27.13	$216.32
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 / $19.38	Professional		$7.75	$10.63	$19.38
United Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $25.98 / $25.98	Facility		$25.98	$25.98	$25.98
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $12.40 / $18.60	Professional		$9.30	$12.40	$18.60