Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.94 / $38.94 / $38.94	Facility		$38.94	$38.94	$38.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $30.36 / $42.74	Professional		$20.54	$30.36	$42.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $53.46 / $70.56	Facility		$37.60	$53.46	$70.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.29 / $118.29 / $118.29	Facility		$118.29	$118.29	$118.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $53.27	Professional		$36.29	$36.29	$53.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $276.75 / $320.00	Professional		$202.00	$276.75	$320.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.69 / $52.29	Professional		$19.05	$28.69	$52.29