Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $22.87 / $22.87	Facility		$22.87	$22.87	$22.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $22.87 / $37.01	Professional		$14.09	$22.87	$37.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.31 / $231.68 / $463.93	Facility		$108.31	$231.68	$463.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.88 / $2.88	Professional		$2.11	$2.88	$2.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $48.25	Facility		$27.30	$27.30	$48.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $29.21 / $55.78	Professional		$23.21	$29.21	$55.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.84 / $70.84	Professional		$3.26	$3.84	$70.84
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 $4.99 / $4.99 / $4.99	Professional		$4.99	$4.99	$4.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $34.98	Professional		$33.32	$33.32	$34.98
United Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.22 / $38.25	Professional		$15.42	$21.22	$38.25