Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $19.66 / $19.66	Facility		$19.66	$19.66	$19.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $19.66 / $30.68	Professional		$17.68	$19.66	$30.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.20 / $491.78 / $1,791.58	Facility		$179.20	$491.78	$1,791.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Professional		$134.00	$134.00	$134.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Facility		$30.29	$30.29	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $30.29 / $66.75	Professional		$22.11	$30.29	$66.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $70.53 / $80.98	Professional		$52.11	$70.53	$80.98
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 $40.73 / $52.37 / $61.09	Professional		$40.73	$52.37	$61.09
United Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $23.40 / $40.26	Professional		$18.77	$23.40	$40.26