Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $41.00 / $65.25	Facility		$20.50	$41.00	$65.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $20.50 / $21.50	Professional		$11.84	$20.50	$21.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $33.75 / $60.92	Facility		$19.55	$33.75	$60.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $59.80 / $114.66	Facility		$17.47	$59.80	$114.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $26.08 / $32.86	Professional		$13.15	$26.08	$32.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $35.00 / $72.65	Professional		$20.00	$35.00	$72.65
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 $32.50 / $32.50 / $32.50	Professional		$32.50	$32.50	$32.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $17.14 / $31.25	Professional		$13.75	$17.14	$31.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $15.00 / $26.01	Professional		$8.30	$15.00	$26.01