Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $34.50 / $49.30	Facility		$30.19	$34.50	$49.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $29.40 / $43.50	Professional		$19.32	$29.40	$43.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.78 / $311.83 / $624.45	Facility		$145.78	$311.83	$624.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.34 / $68.58	Professional		$21.88	$47.34	$68.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $33.20 / $55.86	Professional		$20.95	$33.20	$55.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $40.65 / $76.73	Professional		$24.54	$40.65	$76.73
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 $22.04 / $23.09 / $36.27	Professional		$22.04	$23.09	$36.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $41.01	Professional		$32.34	$32.34	$41.01
United Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $39.99 / $69.70	Professional		$27.43	$39.99	$69.70