Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $28.06 / $28.06	Facility		$28.06	$28.06	$28.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $17.94 / $24.34	Professional		$15.94	$17.94	$24.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $60.57 / $102.19	Facility		$32.39	$60.57	$102.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $19.47 / $25.91	Professional		$17.95	$19.47	$25.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $23.85 / $37.63	Professional		$17.32	$23.85	$37.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $27.79 / $79.54	Professional		$18.77	$27.79	$79.54
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 $21.03 / $21.63 / $22.97	Professional		$21.03	$21.63	$22.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $32.34 / $32.34	Professional		$22.09	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $22.72 / $36.04	Professional		$16.57	$22.72	$36.04