Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $33.83	Facility		$30.75	$30.75	$33.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $35.06	Professional		$30.75	$30.75	$35.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $157.81 / $574.91	Facility		$73.59	$157.81	$574.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Professional		$43.00	$43.00	$43.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $63.21 / $63.21	Facility		$63.21	$63.21	$63.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $71.94 / $71.94	Professional		$71.94	$71.94	$71.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $22.23 / $102.53	Professional		$14.82	$22.23	$102.53
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $24.89 / $29.14	Professional		$24.28	$24.89	$29.14