Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $45.20 / $84.81	Facility		$24.34	$45.20	$84.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $23.18 / $32.63	Professional		$14.98	$23.18	$32.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $38.15 / $60.13	Facility		$18.89	$38.15	$60.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $19.51 / $21.77	Professional		$3.50	$19.51	$21.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $69.97 / $129.55	Facility		$31.63	$69.97	$129.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $29.54 / $38.90	Professional		$14.86	$29.54	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $45.23 / $121.95	Professional		$28.27	$45.23	$121.95
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 $36.75 / $36.75 / $36.75	Professional		$36.75	$36.75	$36.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $15.55 / $28.27	Professional		$14.14	$15.55	$28.27
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $17.98 / $33.01	Professional		$11.87	$17.98	$33.01