Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $40.59 / $65.51	Facility		$25.10	$40.59	$65.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $20.07 / $21.34	Professional		$18.10	$20.07	$21.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $35.14 / $44.42	Facility		$29.36	$35.14	$44.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $62.65 / $116.15	Facility		$34.58	$62.65	$116.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $30.12 / $30.12	Professional		$30.12	$30.12	$30.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $35.39 / $63.90	Professional		$26.67	$35.39	$63.90
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 $25.10 / $36.90 / $37.65	Professional		$25.10	$36.90	$37.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $15.06 / $25.10	Professional		$10.54	$15.06	$25.10