Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $42.66	Facility		$20.89	$20.89	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $37.15	Professional		$16.98	$20.89	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $288.40	Facility		$50.12	$79.43	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $31.62	Professional		$26.92	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $45.71	Facility		$22.91	$22.91	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $45.71	Professional		$16.98	$16.98	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $67.61	Professional		$41.69	$54.95	$67.61
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 $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $30.90	Professional		$21.88	$21.88	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.11 / $60.26	Facility		$15.49	$33.11	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $31.62	Professional		$15.49	$20.42	$31.62