Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $42.10 / $70.52	Facility		$21.05	$42.10	$70.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $22.36	Professional		$21.05	$21.05	$22.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $75.33 / $316.98	Facility		$43.20	$75.33	$316.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.04 / $120.00	Professional		$28.84	$38.04	$120.00
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 $26.78 / $26.78 / $26.78	Professional		$26.78	$26.78	$26.78
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $23.08	Professional		$21.05	$21.05	$23.08