Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $35.69 / $53.39	Facility		$35.69	$35.69	$53.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $47.60 / $69.31	Professional		$27.90	$47.60	$69.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $109.83 / $109.83	Facility		$109.83	$109.83	$109.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $48.83 / $57.45	Professional		$35.69	$48.83	$57.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $67.58	Professional		$50.89	$50.89	$67.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $63.20 / $164.47	Professional		$37.61	$63.20	$164.47
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 $45.10 / $46.40 / $74.69	Professional		$45.10	$46.40	$74.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $84.45	Professional		$32.34	$32.34	$84.45
United Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $84.95 / $145.66	Professional		$62.69	$84.95	$145.66