Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $210.60	Facility		$20.00	$20.00	$210.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $25.00	Professional		$20.00	$20.00	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $255.55 / $1,806.00	Facility		$142.50	$255.55	$1,806.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $117.89 / $117.89	Professional		$27.38	$117.89	$117.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $81.25 / $162.43	Professional		$59.93	$81.25	$162.43
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 $28.77 / $28.77 / $28.77	Professional		$28.77	$28.77	$28.77