Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $54.95 / $83.18	Facility		$31.62	$54.95	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $51.29	Professional		$30.90	$31.62	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $302.00 / $891.25	Facility		$131.83	$302.00	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $47.86 / $123.03	Professional		$27.54	$47.86	$123.03
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 $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $58.88	Professional		$33.11	$33.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $52.48	Facility		$32.36	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $34.67	Professional		$31.62	$31.62	$34.67