Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $15.65 / $54.68	Facility		$10.58	$15.65	$54.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $16.39 / $22.00	Professional		$10.58	$16.39	$22.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $76.41 / $98.58	Facility		$64.05	$76.41	$98.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $83.56 / $120.60	Facility		$42.29	$83.56	$120.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.19 / $23.75	Professional		$19.00	$19.19	$23.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $204.32 / $345.40	Professional		$102.98	$204.32	$345.40
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00