Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $11.22	Facility		$6.03	$6.03	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $12.88	Professional		$6.03	$7.08	$12.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $181.97 / $707.95	Facility		$81.28	$181.97	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $28.18	Professional		$17.38	$20.89	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $104.71	Professional		$30.20	$40.74	$104.71
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 $12.88 / $18.62 / $19.50	Professional		$12.88	$18.62	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.94 / $13.49	Facility		$5.75	$7.94	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.32 / $14.13	Professional		$6.31	$8.32	$14.13