Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Facility		$22.28	$22.28	$22.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $22.28 / $39.65	Professional		$18.46	$22.28	$39.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $100.23 / $347.75	Facility		$47.70	$100.23	$347.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $43.26	Facility		$19.37	$19.37	$43.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.46 / $40.28	Professional		$16.19	$16.46	$40.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $49.40 / $64.00	Professional		$39.68	$49.40	$64.00
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 $51.58 / $51.58 / $51.58	Professional		$51.58	$51.58	$51.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $53.96 / $59.52	Professional		$18.91	$53.96	$59.52
United Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $19.79 / $32.99	Professional		$13.94	$19.79	$32.99