Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $45.98 / $75.31	Facility		$20.00	$45.98	$75.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $25.19 / $47.41	Professional		$20.00	$25.19	$47.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $4,335.80 / $8,200.00	Facility		$80.70	$4,335.80	$8,200.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $23.06 / $23.06	Professional		$23.06	$23.06	$23.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Facility		$22.10	$22.10	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $21.42 / $51.26	Professional		$14.84	$21.42	$51.26
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 $17.41 / $17.60 / $19.29	Professional		$17.41	$17.60	$19.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $25.26 / $26.82	Professional		$22.35	$25.26	$26.82