Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Facility		$15.64	$15.64	$15.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $12.19 / $17.02	Professional		$8.27	$12.19	$17.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $201.96 / $266.56	Facility		$75.20	$201.96	$266.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $68.00	Professional		$68.00	$68.00	$68.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $32.45 / $32.45	Facility		$32.45	$32.45	$32.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $21.47	Professional		$14.57	$14.57	$21.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.43 / $27.53	Professional		$5.09	$6.43	$27.53
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.81 / $21.40	Professional		$7.65	$11.81	$21.40