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 $22.52 / $24.62 / $38.15	Professional		$22.52	$24.62	$38.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $63.44 / $409.90	Facility		$40.29	$63.44	$409.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $23.12 / $30.03	Professional		$3.50	$23.12	$30.03
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 $12.49 / $32.72 / $50.31	Professional		$12.49	$32.72	$50.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $49.20 / $87.64	Professional		$33.18	$49.20	$87.64
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 / $30.03	Professional		$12.61	$17.04	$30.03