Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $30.84 / $46.61	Facility		$17.44	$30.84	$46.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.62 / $22.67	Professional		$17.44	$17.62	$22.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $367.35 / $650.40	Facility		$56.01	$367.35	$650.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Facility		$17.62	$17.62	$17.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $25.00 / $53.86	Professional		$15.68	$25.00	$53.86
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 $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $18.37 / $19.07	Professional		$17.88	$18.37	$19.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $19.32	Professional		$17.62	$17.62	$19.32