Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Facility		$20.04	$20.04	$20.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $20.04 / $32.17	Professional		$18.02	$20.04	$32.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $256.89 / $935.90	Facility		$112.00	$256.89	$935.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $30.06 / $30.06	Facility		$30.06	$30.06	$30.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $29.29 / $40.13	Professional		$21.94	$29.29	$40.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $61.25 / $70.20	Professional		$45.17	$61.25	$70.20
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 $33.04 / $42.48 / $49.56	Professional		$33.04	$42.48	$49.56
United Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $23.85 / $40.99	Professional		$19.13	$23.85	$40.99