Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $22.12 / $22.12	Facility		$22.12	$22.12	$22.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $22.12 / $39.36	Professional		$18.37	$22.12	$39.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.42 / $106.55 / $345.16	Facility		$60.42	$106.55	$345.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $43.32	Facility		$26.07	$26.07	$43.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $45.75	Professional		$16.07	$22.16	$45.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $51.78 / $67.08	Professional		$39.38	$51.78	$67.08
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 $51.19 / $51.19 / $51.19	Professional		$51.19	$51.19	$51.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $49.23 / $59.07	Professional		$18.77	$49.23	$59.07
United Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $19.61 / $33.72	Professional		$13.92	$19.61	$33.72