Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $52.48 / $72.09	Facility		$22.57	$52.48	$72.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $21.52 / $53.80	Professional		$20.99	$21.52	$53.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $46.65 / $269.87	Facility		$27.37	$46.65	$269.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $19.19 / $20.20	Professional		$3.50	$19.19	$20.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $62.78 / $120.61	Facility		$25.59	$62.78	$120.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $31.80 / $39.75	Professional		$15.40	$31.80	$39.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $34.11 / $62.20	Professional		$23.47	$34.11	$62.20
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 $34.11 / $34.11 / $34.11	Professional		$34.11	$34.11	$34.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $14.43 / $32.79	Professional		$9.63	$14.43	$32.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $15.74 / $27.03	Professional		$11.02	$15.74	$27.03