Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $40.00 / $65.25	Facility		$20.50	$40.00	$65.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $20.50 / $21.50	Professional		$18.75	$20.50	$21.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $35.00 / $44.25	Facility		$29.25	$35.00	$44.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Professional		$38.00	$38.00	$38.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $61.40 / $114.66	Facility		$34.43	$61.40	$114.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.21 / $36.19	Professional		$30.00	$30.21	$36.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $36.25 / $66.95	Professional		$26.25	$36.25	$66.95
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 $34.00 / $34.00 / $37.50	Professional		$34.00	$34.00	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.00 / $25.00	Professional		$10.50	$15.00	$25.00