Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.08 / $26.08 / $26.08	Facility		$26.08	$26.08	$26.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $37.04 / $48.48	Professional		$27.37	$37.04	$48.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $56.14 / $72.41	Facility		$47.04	$56.14	$72.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $16.47 / $20.05	Professional		$16.47	$16.47	$20.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $48.84 / $48.84	Facility		$48.84	$48.84	$48.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $19.53 / $62.09	Professional		$16.30	$19.53	$62.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $18.66 / $32.99	Professional		$13.06	$18.66	$32.99
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 $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 $13.61 / $23.25 / $93.30	Professional		$13.61	$23.25	$93.30