Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $17.01 / $17.01	Facility		$17.01	$17.01	$17.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $17.01 / $26.55	Professional		$15.30	$17.01	$26.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $183.50 / $668.50	Facility		$80.00	$183.50	$668.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $54.94 / $54.94	Facility		$54.94	$54.94	$54.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $40.11 / $54.94	Professional		$34.13	$40.11	$54.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $84.55 / $96.92	Professional		$62.36	$84.55	$96.92
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.25 / $35.25	Professional		$16.23	$20.25	$35.25