Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $30.12	Facility		$22.95	$22.95	$30.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $24.39	Professional		$22.95	$22.95	$24.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.35 / $73.75 / $227.80	Facility		$32.35	$73.75	$227.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $39.70 / $160.00	Professional		$35.28	$39.70	$160.00
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 $23.00 / $30.00 / $30.00	Professional		$23.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $30.44	Professional		$28.69	$28.69	$30.44