Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.58 / $29.23	Professional		$14.40	$20.58	$29.23
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.46 / $17.46 / $17.46	Professional	CQ	$17.46	$17.46	$17.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $20.65 / $25.16	Professional		$17.45	$20.65	$25.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $45.88 / $105.33	Professional		$21.18	$45.88	$105.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $38.99 / $67.90	Professional		$25.46	$38.99	$67.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $37.39 / $39.75	Professional		$36.78	$37.39	$39.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $42.81	Professional		$32.34	$32.34	$42.81
United Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $26.39 / $44.08	Professional		$20.56	$26.39	$44.08