Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $32.29 / $55.04	Professional		$20.21	$32.29	$55.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $84.95 / $109.59	Facility		$71.20	$84.95	$109.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $16.47 / $20.05	Professional		$16.47	$16.47	$20.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Facility		$36.90	$36.90	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $19.53 / $62.09	Professional		$16.30	$19.53	$62.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $18.66 / $31.35	Professional		$13.06	$18.66	$31.35
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $21.85 / $91.12	Professional		$13.61	$21.85	$91.12