Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $19.97 / $27.95	Facility		$18.00	$19.97	$27.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $20.97	Professional		$19.97	$19.97	$20.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $63.22 / $313.29	Facility		$41.37	$63.22	$313.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $23.55	Professional		$19.97	$19.97	$23.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $21.97 / $50.94	Professional		$16.97	$21.97	$50.94
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 $25.96 / $25.96 / $25.96	Professional		$25.96	$25.96	$25.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $30.00 / $32.25	Professional		$29.24	$30.00	$32.25
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $21.89	Professional		$19.97	$19.97	$21.89