Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $14.43 / $15.91	Facility		$14.43	$14.43	$15.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $20.53 / $26.83	Professional		$15.32	$20.53	$26.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $39.81 / $49.80	Facility		$20.44	$39.81	$49.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $18.41 / $23.16	Professional		$16.63	$18.41	$23.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $20.25 / $20.25	Facility		$20.25	$20.25	$20.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $22.44	Professional		$15.18	$15.18	$22.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $19.00 / $43.54	Professional		$14.11	$19.00	$43.54
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 $18.69 / $18.76 / $22.19	Professional		$18.69	$18.76	$22.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $32.34 / $32.34	Professional		$22.27	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $19.05 / $33.71	Professional		$13.47	$19.05	$33.71