Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $24.24 / $24.24	Facility		$24.24	$24.24	$24.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $16.89 / $21.34	Professional		$13.51	$16.89	$21.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $57.73 / $88.67	Facility		$45.95	$57.73	$88.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $19.12 / $25.41	Professional		$18.71	$19.12	$25.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $19.55	Facility		$19.55	$19.55	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $21.68 / $33.60	Professional		$15.72	$21.68	$33.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $26.88 / $85.09	Professional		$18.42	$26.88	$85.09
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 $20.62 / $21.22 / $22.54	Professional		$20.62	$21.22	$22.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $32.34 / $32.34	Professional		$21.68	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $19.28 / $31.00	Professional		$14.41	$19.28	$31.00