Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $15.36 / $15.36	Facility		$15.36	$15.36	$15.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $15.36 / $23.55	Professional		$11.68	$15.36	$23.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.39 / $69.09 / $239.76	Facility		$33.39	$69.09	$239.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $20.52 / $20.52	Professional		$13.63	$20.52	$20.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $16.44 / $30.10	Facility		$16.44	$16.44	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $13.97 / $31.88	Professional		$13.97	$13.97	$31.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $44.79 / $60.41	Professional		$27.17	$44.79	$60.41
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 $35.32 / $35.32 / $35.57	Professional		$35.32	$35.32	$35.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $38.29 / $41.04	Professional		$34.20	$38.29	$41.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $13.65 / $23.43	Professional		$9.67	$13.65	$23.43