Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $29.29 / $52.13	Professional		$24.33	$29.29	$52.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $141.11 / $457.09	Facility		$81.09	$141.11	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.45 / $57.38	Facility		$34.45	$34.45	$57.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $29.28 / $52.73	Professional		$21.28	$29.28	$52.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $47.48 / $73.02	Professional		$38.64	$47.48	$73.02
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 $67.81 / $67.81 / $67.81	Professional		$67.81	$67.81	$67.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $65.20 / $78.23	Professional		$24.85	$65.20	$78.23
United Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $26.02 / $44.67	Professional		$18.43	$26.02	$44.67