Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $22.60 / $39.57	Facility		$22.60	$22.60	$39.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $22.60 / $31.19	Professional		$12.80	$22.60	$31.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.03 / $228.96 / $458.49	Facility		$105.03	$228.96	$458.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.68 / $29.68	Professional		$21.38	$29.68	$29.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $43.53	Facility		$25.17	$25.17	$43.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $45.75	Professional		$21.39	$21.39	$45.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $39.57 / $75.18	Professional		$33.63	$39.57	$75.18
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 $51.44 / $51.44 / $51.44	Professional		$51.44	$51.44	$51.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $58.62 / $87.93	Professional		$58.62	$58.62	$87.93
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.70 / $33.89	Professional		$13.16	$19.70	$33.89