Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $20.27 / $36.10	Facility		$20.27	$20.27	$36.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $22.13 / $31.61	Professional		$16.84	$22.13	$31.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $113.99 / $413.69	Facility		$41.60	$113.99	$413.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $36.10 / $36.10	Professional		$28.20	$36.10	$36.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $37.03	Professional		$14.73	$14.73	$37.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $50.09 / $92.09	Professional		$30.69	$50.09	$92.09
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 $46.93 / $46.93 / $46.93	Professional		$46.93	$46.93	$46.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $53.07 / $54.15	Professional		$45.13	$53.07	$54.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $18.01 / $31.62	Professional		$12.76	$18.01	$31.62