Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $24.63 / $31.75	Professional		$14.32	$24.63	$31.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $58.21 / $58.21	Professional		$47.82	$58.21	$58.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $41.98 / $58.10	Professional		$31.20	$41.98	$58.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $59.04 / $115.38	Professional		$43.13	$59.04	$115.38
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 $3.01 / $20.58 / $33.84	Professional		$3.01	$20.58	$33.84