Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.62 / $40.32	Facility		$26.62	$26.62	$40.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $27.69	Professional		$26.62	$26.62	$27.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $25.02 / $29.78	Professional		$25.02	$25.02	$29.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Facility		$26.62	$26.62	$26.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $39.93 / $153.22	Professional		$26.62	$39.93	$153.22
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 $34.61 / $34.61 / $34.61	Professional		$34.61	$34.61	$34.61
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 $26.62 / $26.62 / $29.18	Professional		$26.62	$26.62	$29.18