Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $30.54 / $30.54	Facility		$20.10	$30.54	$30.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $20.01 / $30.54	Professional		$17.53	$20.01	$30.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.38 / $477.17 / $901.56	Facility		$158.38	$477.17	$901.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $32.42 / $40.33	Professional		$21.02	$32.42	$40.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $775.72 / $1,484.21	Facility		$21.32	$775.72	$1,484.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $29.41 / $55.34	Professional		$19.30	$29.41	$55.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $28.43 / $100.76	Professional		$19.07	$28.43	$100.76
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 $22.09 / $23.21 / $24.64	Professional		$22.09	$23.21	$24.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $32.34 / $32.34	Professional		$23.69	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $31.83 / $51.57	Professional		$18.82	$31.83	$51.57