Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $9.09 / $74.88	Facility		$9.09	$9.09	$74.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.02 / $16.18	Professional		$7.55	$10.02	$16.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $45.76 / $185.53	Facility		$19.20	$45.76	$185.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $16.19 / $16.19	Professional		$12.65	$16.19	$16.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $16.61	Professional		$6.60	$6.60	$16.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $22.67 / $51.20	Professional		$13.76	$22.67	$51.20
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 $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.67 / $24.29	Professional		$22.02	$22.67	$24.29
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $8.08 / $13.86	Professional		$5.72	$8.08	$13.86