Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $38.36 / $79.20	Facility		$31.42	$38.36	$79.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $34.45 / $55.59	Professional		$31.42	$34.45	$55.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $99.16 / $427.66	Facility		$58.83	$99.16	$427.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Professional		$36.90	$36.90	$36.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $35.25 / $35.25	Facility		$35.25	$35.25	$35.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $35.25	Professional		$35.25	$35.25	$35.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $24.25 / $80.43	Professional		$14.82	$24.25	$80.43
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 $17.54 / $17.54 / $27.54	Professional		$17.54	$17.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $37.13 / $38.56	Professional		$31.47	$37.13	$38.56