Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Facility		$31.73	$31.73	$31.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $31.73 / $56.21	Professional		$26.35	$31.73	$56.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $140.76 / $492.07	Facility		$66.78	$140.76	$492.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $42.38	Professional		$42.38	$42.38	$42.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.86 / $61.86 / $61.86	Facility		$61.86	$61.86	$61.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $24.24 / $65.63	Professional		$24.24	$24.24	$65.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $56.50 / $73.45	Professional		$46.80	$56.50	$73.45
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 $73.45 / $73.45 / $73.45	Professional		$73.45	$73.45	$73.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $79.09 / $84.75	Professional		$70.63	$79.09	$84.75
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $28.19 / $49.92	Professional		$20.87	$28.19	$49.92