Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $9.26 / $16.50	Facility		$9.26	$9.26	$16.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $9.44 / $14.44	Professional		$6.32	$9.44	$14.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $41.63 / $144.43	Facility		$19.20	$41.63	$144.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $12.38 / $12.38	Professional		$9.67	$12.38	$12.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $9.74	Professional		$8.42	$8.42	$9.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $19.62 / $39.97	Professional		$14.03	$19.62	$39.97
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 $21.14 / $21.14 / $21.45	Professional		$21.14	$21.14	$21.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $23.10 / $24.75	Professional		$22.44	$23.10	$24.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $8.23 / $14.12	Professional		$5.83	$8.23	$14.12