Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $28.14 / $54.82	Facility		$15.58	$28.14	$54.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $16.07 / $18.89	Professional		$15.58	$16.07	$18.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $60.92 / $932.39	Facility		$20.80	$60.92	$932.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $16.07 / $16.07	Facility		$15.17	$16.07	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $24.12 / $182.32	Professional		$13.67	$24.12	$182.32
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 $20.90 / $20.90 / $20.90	Professional		$20.90	$20.90	$20.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.71 / $81.49	Professional		$22.10	$22.71	$81.49
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $21.50	Professional		$16.07	$16.07	$21.50