Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $50.12	Professional		$28.18	$28.18	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $44.67 / $162.18	Facility		$25.12	$44.67	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $16.60	Facility		$12.59	$12.59	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $12.59	Professional		$10.72	$10.72	$12.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $199.53 / $346.74	Professional		$30.20	$199.53	$346.74
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $20.89 / $21.88	Facility		$17.78	$20.89	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $21.88	Professional		$10.96	$13.18	$21.88