Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Facility		$21.18	$21.18	$21.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $21.75 / $37.71	Professional		$17.59	$21.75	$37.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.02 / $218.24 / $437.02	Facility		$102.02	$218.24	$437.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $28.28 / $28.28	Professional		$25.04	$28.28	$28.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $26.66 / $41.48	Facility		$22.51	$26.66	$41.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $43.88	Professional		$22.66	$22.66	$43.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $47.30 / $64.00	Professional		$36.40	$47.30	$64.00
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 $49.02 / $49.02 / $57.67	Professional		$49.02	$49.02	$57.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $51.29 / $56.57	Professional		$14.59	$51.29	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $18.82 / $33.04	Professional		$14.73	$18.82	$33.04