Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $70.70	Facility		$29.71	$29.71	$70.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $52.93	Professional		$29.71	$29.71	$52.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $68.16 / $143.47	Facility		$50.24	$68.16	$143.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $30.65 / $30.65	Professional		$30.65	$30.65	$30.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Facility		$29.33	$29.33	$29.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Professional		$29.33	$29.33	$29.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $44.57 / $92.27	Professional		$29.71	$44.57	$92.27
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 $38.61 / $38.61 / $38.61	Professional		$38.61	$38.61	$38.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.31	Professional		$30.00	$30.00	$30.31
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $30.50 / $32.06	Professional		$25.44	$30.50	$32.06