Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $100.80	Facility		$31.35	$31.35	$100.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $37.22	Professional		$31.35	$31.35	$37.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $257.47 / $1,130.97	Facility		$96.00	$257.47	$1,130.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $81.29 / $81.29	Professional		$81.29	$81.29	$81.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Facility		$33.31	$33.31	$33.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $52.81 / $245.40	Professional		$32.78	$52.81	$245.40
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 $47.35 / $47.35 / $47.35	Professional		$47.35	$47.35	$47.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $41.57	Professional		$32.65	$32.65	$41.57