Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $27.17 / $27.17	Facility		$27.17	$27.17	$27.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $27.17 / $44.30	Professional		$15.62	$27.17	$44.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $122.18 / $423.91	Facility		$57.24	$122.18	$423.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $36.29 / $36.29	Professional		$24.10	$36.29	$36.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $48.76	Facility		$29.06	$29.06	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $25.34 / $55.13	Professional		$24.70	$25.34	$55.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $67.73 / $89.60	Professional		$45.96	$67.73	$89.60
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 $61.76 / $61.76 / $62.89	Professional		$61.76	$61.76	$62.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $60.48 / $72.56	Professional		$23.05	$60.48	$72.56
United Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $24.13 / $42.37	Professional		$16.09	$24.13	$42.37