Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $24.13 / $24.13	Facility		$24.13	$24.13	$24.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $24.13 / $42.93	Professional		$20.04	$24.13	$42.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $116.23 / $376.44	Facility		$66.78	$116.23	$376.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $47.26	Facility		$25.81	$25.81	$47.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $25.81 / $49.88	Professional		$21.94	$25.81	$49.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $40.83 / $60.14	Professional		$33.22	$40.83	$60.14
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 $55.85 / $55.85 / $55.85	Professional		$55.85	$55.85	$55.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $53.70 / $64.44	Professional		$18.78	$53.70	$64.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $21.43 / $35.72	Professional		$15.18	$21.43	$35.72