Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $25.62 / $29.75	Facility		$25.62	$25.62	$29.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $35.84 / $48.59	Professional		$26.61	$35.84	$48.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $70.77 / $86.99	Facility		$36.14	$70.77	$86.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $34.36 / $43.32	Professional		$29.36	$34.36	$43.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Facility		$36.09	$36.09	$36.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $39.96	Professional		$28.57	$28.57	$39.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $35.70 / $61.75	Professional		$25.62	$35.70	$61.75
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 $33.31 / $33.54 / $41.42	Professional		$33.31	$33.54	$41.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $46.83	Professional		$32.34	$32.34	$46.83
United Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $35.75 / $64.47	Professional		$26.38	$35.75	$64.47