Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Facility		$23.61	$23.61	$23.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $23.61 / $36.76	Professional		$18.47	$23.61	$36.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $93.80 / $395.28	Facility		$55.65	$93.80	$395.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $34.92 / $34.92	Professional		$29.61	$34.92	$34.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $50.29	Facility		$27.10	$27.10	$50.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $27.10 / $59.11	Professional		$19.78	$27.10	$59.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $53.48 / $65.91	Professional		$41.36	$53.48	$65.91
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 $59.74 / $59.74 / $59.74	Professional		$59.74	$59.74	$59.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $34.63 / $36.36	Professional		$24.24	$34.63	$36.36
United Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $22.81 / $39.35	Professional		$17.07	$22.81	$39.35