Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $87.46	Facility		$24.86	$24.86	$87.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $27.34 / $47.75	Professional		$24.85	$27.34	$47.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,603.60 / $4,622.80 / $8,200.00	Facility		$3,603.60	$4,622.80	$8,200.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $28.67 / $28.67	Professional		$28.67	$28.67	$28.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Facility		$27.44	$27.44	$27.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $21.42 / $75.88	Professional		$14.84	$21.42	$75.88
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 $17.41 / $17.60 / $19.29	Professional		$17.41	$17.60	$19.29
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 $27.79 / $31.12 / $33.35	Professional		$27.79	$31.12	$33.35