Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $28.35 / $44.47	Facility		$13.43	$28.35	$44.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $13.43 / $14.88	Professional		$12.64	$13.43	$14.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $46.87 / $400.80	Facility		$16.00	$46.87	$400.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $46.90 / $120.00	Professional		$16.82	$46.90	$120.00
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 $29.06 / $29.06 / $29.06	Professional		$29.06	$29.06	$29.06
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $18.03	Professional		$17.50	$17.50	$18.03