Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $19.84 / $56.22	Facility		$19.84	$19.84	$56.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $19.84 / $35.29	Professional		$14.83	$19.84	$35.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $89.25 / $309.67	Facility		$42.93	$89.25	$309.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $26.49 / $26.49	Professional		$20.69	$26.49	$26.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.22 / $38.85	Facility		$12.60	$21.22	$38.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $40.88	Professional		$18.04	$18.04	$40.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $44.63 / $57.83	Professional		$35.32	$44.63	$57.83
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 $45.92 / $45.92 / $45.92	Professional		$45.92	$45.92	$45.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.83 / $48.04 / $52.98	Professional		$16.83	$48.04	$52.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $17.62 / $31.21	Professional		$12.48	$17.62	$31.21