Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $25.41 / $25.41	Facility		$25.41	$25.41	$25.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $25.41 / $45.21	Professional		$21.10	$25.41	$45.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $110.62 / $394.06	Facility		$48.00	$110.62	$394.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $33.95 / $33.95	Professional		$29.21	$33.95	$33.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $49.79	Facility		$28.50	$28.50	$49.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $28.50 / $52.50	Professional		$20.81	$28.50	$52.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.53 / $67.89	Professional		$43.65	$54.53	$67.89
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 $58.84 / $58.84 / $58.84	Professional		$58.84	$58.84	$58.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $36.19 / $66.53	Professional		$24.12	$36.19	$66.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $21.32 / $38.85	Professional		$15.93	$21.32	$38.85