Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $47.63 / $78.79	Facility		$23.52	$47.63	$78.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $23.52 / $30.73	Professional		$23.52	$23.52	$30.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $86.49 / $363.94	Facility		$49.60	$86.49	$363.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $52.70	Professional		$31.00	$31.00	$52.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $39.94 / $200.00	Professional		$1.00	$39.94	$200.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.06 / $17.06 / $17.06	Professional		$17.06	$17.06	$17.06
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $31.19	Professional		$29.40	$29.40	$31.19