Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $60.26	Facility		$33.11	$38.90	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $57.54	Professional		$25.70	$37.15	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $831.76 / $1,584.89	Facility		$309.03	$831.76	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $63.10	Professional		$31.62	$31.62	$63.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $123.03	Professional		$53.70	$74.13	$123.03
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 $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $56.23 / $60.26	Facility		$31.62	$56.23	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $44.67	Professional		$20.42	$29.51	$44.67