Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $19.69 / $19.69	Facility		$19.69	$19.69	$19.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $19.69 / $30.65	Professional		$15.37	$19.69	$30.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $78.01 / $329.54	Facility		$46.11	$78.01	$329.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $41.92	Facility		$21.38	$21.38	$41.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $21.38 / $44.25	Professional		$15.61	$21.38	$44.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $49.99 / $60.07	Professional		$38.31	$49.99	$60.07
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 $49.80 / $49.80 / $49.80	Professional		$49.80	$49.80	$49.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $28.88 / $30.32	Professional		$20.21	$28.88	$30.32
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $19.02 / $33.84	Professional		$14.22	$19.02	$33.84