Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $26.06 / $40.29	Facility		$17.37	$26.06	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $18.50 / $21.06	Professional		$17.37	$18.50	$21.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $72.61 / $359.85	Facility		$47.52	$72.61	$359.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Facility		$18.50	$18.50	$18.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Professional		$18.50	$18.50	$18.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $35.82 / $103.20	Professional		$18.50	$35.82	$103.20
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 $24.05 / $24.05 / $24.05	Professional		$24.05	$24.05	$24.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $18.89 / $19.42	Professional		$18.89	$18.89	$19.42
United Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $19.61 / $24.73	Professional		$18.50	$19.61	$24.73