Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.07 / $25.08	Professional		$14.45	$16.07	$25.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $150.47 / $548.16	Facility		$65.59	$150.47	$548.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $28.58	Facility		$28.58	$28.58	$28.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $23.59 / $32.25	Professional		$20.86	$23.59	$32.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $50.00 / $57.32	Professional		$36.88	$50.00	$57.32
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 $39.69 / $51.03 / $59.54	Professional		$39.69	$51.03	$59.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $19.12 / $33.07	Professional		$15.34	$19.12	$33.07