Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.17 / $63.58	Facility		$20.17	$20.17	$63.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $20.17 / $32.56	Professional		$16.38	$20.17	$32.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $84.90 / $265.62	Facility		$48.00	$84.90	$265.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $20.23 / $25.31	Professional		$20.07	$20.23	$25.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $34.22 / $44.87	Professional		$22.61	$34.22	$44.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $25.63 / $68.94	Professional		$17.62	$25.63	$68.94
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 $20.79 / $20.83 / $22.17	Professional		$20.79	$20.83	$22.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $4.41	Professional		$4.41	$4.41	$4.41
United Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $28.69 / $47.66	Professional		$18.72	$28.69	$47.66