Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $27.45 / $61.31	Facility		$18.01	$27.45	$61.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.30 / $24.73	Professional		$18.01	$18.30	$24.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.36 / $76.97 / $381.43	Facility		$49.36	$76.97	$381.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Facility		$18.01	$18.01	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $25.21 / $48.29	Professional		$18.01	$25.21	$48.29
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 $23.41 / $23.41 / $23.41	Professional		$23.41	$23.41	$23.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $21.97	Professional		$18.01	$18.01	$21.97