Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $31.99 / $54.09	Professional		$26.57	$31.99	$54.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $143.90 / $499.25	Facility		$68.37	$143.90	$499.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $42.73 / $42.73	Professional		$33.38	$42.73	$42.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $53.26 / $53.26	Facility		$53.26	$53.26	$53.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $66.66	Professional		$23.24	$23.24	$66.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $74.68 / $96.75	Professional		$56.97	$74.68	$96.75
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 $74.06 / $74.06 / $74.06	Professional		$74.06	$74.06	$74.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $77.48 / $85.46	Professional		$27.13	$77.48	$85.46
United Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $28.42 / $49.91	Professional		$22.36	$28.42	$49.91