Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $22.48 / $195.00	Facility		$12.15	$22.48	$195.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $14.03 / $16.53	Professional		$10.92	$14.03	$16.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $46.39 / $77.33	Facility		$24.24	$46.39	$77.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $29.12 / $111.17	Professional		$13.03	$29.12	$111.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $19.05 / $32.85	Professional		$13.09	$19.05	$32.85
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.07 / $18.34	Professional		$17.02	$17.07	$18.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $30.54 / $60.00	Professional		$7.73	$30.54	$60.00