Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $38.90	Facility		$19.05	$19.05	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $33.88	Professional		$15.85	$19.05	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $74.13 / $263.03	Facility		$46.77	$74.13	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $42.66	Facility		$21.38	$21.38	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $44.67	Professional		$15.49	$15.49	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $61.66	Professional		$38.02	$50.12	$61.66
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 $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $28.84	Professional		$20.42	$20.42	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $30.90 / $56.23	Facility		$14.45	$30.90	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $29.51	Professional		$14.13	$19.05	$29.51