Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $14.16 / $14.16	Facility		$14.16	$14.16	$14.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $14.16 / $22.05	Professional		$11.09	$14.16	$22.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.39 / $56.49 / $237.14	Facility		$33.39	$56.49	$237.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $15.39 / $30.18	Facility		$15.39	$15.39	$30.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $32.19	Professional		$11.23	$11.23	$32.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $30.39 / $38.58	Professional		$23.87	$30.39	$38.58
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 $35.83 / $35.83 / $35.83	Professional		$35.83	$35.83	$35.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $20.77 / $21.80	Professional		$14.53	$20.77	$21.80
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.18 / $27.56	Facility		$8.32	$12.18	$27.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $13.75 / $23.60	Professional		$10.24	$13.75	$23.60