Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Facility		$19.32	$19.32	$19.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $19.32 / $34.38	Professional		$16.04	$19.32	$34.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $93.30 / $301.37	Facility		$54.06	$93.30	$301.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $37.84	Facility		$20.66	$20.66	$37.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $20.66 / $39.75	Professional		$17.55	$20.66	$39.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $34.40 / $48.16	Professional		$28.12	$34.40	$48.16
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 $44.72 / $44.72 / $44.72	Professional		$44.72	$44.72	$44.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $43.00 / $51.60	Professional		$16.39	$43.00	$51.60
United Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $17.16 / $30.13	Professional		$12.16	$17.16	$30.13