Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $28.36	Facility		$28.36	$28.36	$28.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $28.36 / $50.00	Professional		$28.36	$28.36	$50.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $45.28 / $161.88	Facility		$25.44	$45.28	$161.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $12.98	Professional		$10.71	$10.71	$12.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
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 $11.04 / $13.25 / $27.60	Professional		$11.04	$13.25	$27.60