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 $29.14 / $29.14 / $49.79	Facility		$29.14	$29.14	$49.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $29.14 / $52.50	Professional		$21.27	$29.14	$52.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.53 / $67.13	Professional		$43.65	$54.53	$67.13
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 $17.57 / $26.36 / $66.53	Professional		$17.57	$26.36	$66.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $21.32 / $38.85	Professional		$15.99	$21.32	$38.85