Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $23.55 / $23.55	Facility		$23.55	$23.55	$23.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $23.55 / $36.65	Professional		$20.37	$23.55	$36.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $91.46 / $394.34	Facility		$54.06	$91.46	$394.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $34.82 / $34.82	Professional		$30.43	$34.82	$34.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $49.21	Facility		$29.64	$29.64	$49.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $53.78	Professional		$21.64	$21.64	$53.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $48.20 / $64.15	Professional		$36.88	$48.20	$64.15
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 $59.57 / $59.57 / $59.57	Professional		$59.57	$59.57	$59.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $34.54 / $36.26	Professional		$24.17	$34.54	$36.26
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $22.86 / $40.47	Professional		$18.48	$22.86	$40.47