Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $39.35	Facility		$19.48	$19.48	$39.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $21.23	Professional		$19.48	$19.48	$21.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $114.22 / $366.96	Facility		$52.11	$114.22	$366.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $22.97	Professional		$19.48	$19.48	$22.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $27.27 / $52.54	Professional		$17.39	$27.27	$52.54
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 $25.32 / $25.32 / $25.32	Professional		$25.32	$25.32	$25.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $21.36	Professional		$19.48	$19.48	$21.36