Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $15.17 / $18.39	Facility		$14.89	$15.17	$18.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $15.17 / $15.17	Professional		$14.89	$15.17	$15.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $41.88 / $225.95	Facility		$14.40	$41.88	$225.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Facility		$16.64	$16.64	$16.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $29.53 / $94.42	Professional		$20.66	$29.53	$94.42
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 $24.41 / $24.91 / $27.01	Professional		$24.41	$24.91	$27.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $18.37 / $24.19	Professional		$15.32	$18.37	$24.19