Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $24.06 / $287.27	Facility		$24.06	$24.06	$287.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $20.70 / $36.83	Professional		$16.04	$20.70	$36.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.70 / $213.28 / $427.09	Facility		$99.70	$213.28	$427.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $27.64 / $27.64	Professional		$21.05	$27.64	$27.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.13 / $40.54	Facility		$18.29	$22.13	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $42.75	Professional		$18.80	$18.80	$42.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $50.23 / $65.08	Professional		$36.85	$50.23	$65.08
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 $47.91 / $47.91 / $47.91	Professional		$47.91	$47.91	$47.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $50.12 / $55.28	Professional		$17.57	$50.12	$55.28
United Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $18.38 / $32.28	Professional		$13.02	$18.38	$32.28