Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $52.20 / $82.35	Facility		$31.55	$52.20	$82.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $32.22 / $40.59	Professional		$31.55	$32.22	$40.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $320.62 / $966.37	Facility		$137.25	$320.62	$966.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Facility		$32.22	$32.22	$32.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $45.11 / $115.62	Professional		$27.39	$45.11	$115.62
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 $41.89 / $41.89 / $41.89	Professional		$41.89	$41.89	$41.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $33.77 / $58.59	Professional		$32.86	$33.77	$58.59
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $56.92	Professional		$32.22	$32.22	$56.92