Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $30.44 / $37.60	Facility		$30.44	$30.44	$37.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.44 / $33.47	Professional		$30.44	$30.44	$33.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $145.44 / $485.06	Facility		$84.80	$145.44	$485.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $36.17 / $36.17	Professional		$36.17	$36.17	$36.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Facility		$33.42	$33.42	$33.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $22.23 / $100.00	Professional		$14.82	$22.23	$100.00
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $29.46 / $30.39	Professional		$29.46	$29.46	$30.39
United Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $35.81 / $36.89	Professional		$30.74	$35.81	$36.89