Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $34.95 / $5,533.79	Facility		$19.85	$34.95	$5,533.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.97 / $24.06	Professional		$19.85	$19.97	$24.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $73.53 / $364.40	Facility		$47.16	$73.53	$364.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $27.96 / $67.31	Professional		$19.32	$27.96	$67.31
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 $25.96 / $25.96 / $25.96	Professional		$25.96	$25.96	$25.96
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 $19.97 / $19.97 / $20.95	Professional		$19.97	$19.97	$20.95