Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $12.86 / $29.25	Facility		$12.39	$12.86	$29.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $13.50	Professional		$12.86	$12.86	$13.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $70.59 / $318.33	Facility		$39.08	$70.59	$318.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Facility		$12.86	$12.86	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $14.79 / $31.16	Professional		$11.59	$14.79	$31.16
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 $16.72 / $16.72 / $16.72	Professional		$16.72	$16.72	$16.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $17.32 / $18.57	Professional		$15.92	$17.32	$18.57
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $13.38	Professional		$12.86	$12.86	$13.38