Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $52.55 / $78.38	Facility		$24.62	$52.55	$78.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $24.62 / $41.53	Professional		$23.12	$24.62	$41.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $129.24 / $397.20	Facility		$40.54	$129.24	$397.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.72 / $23.12	Professional		$3.50	$20.72	$23.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $66.59 / $138.47	Facility		$38.22	$66.59	$138.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $35.04 / $50.78	Professional		$12.53	$35.04	$50.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $51.05 / $177.91	Professional		$33.18	$51.05	$177.91
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 $39.04 / $39.04 / $39.04	Professional		$39.04	$39.04	$39.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $40.84 / $45.05	Professional		$13.75	$40.84	$45.05
United Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $17.04 / $31.36	Professional		$12.61	$17.04	$31.36