Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $63.10	Facility		$28.84	$42.66	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $50.12	Professional		$28.18	$28.84	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $102.33 / $562.34	Facility		$42.66	$102.33	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $36.31	Professional		$32.36	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $69.18 / $81.28	Professional		$29.51	$69.18	$81.28
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 $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $43.65	Professional		$30.20	$40.74	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $29.51 / $47.86	Facility		$28.84	$29.51	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $32.36	Professional		$28.84	$30.20	$32.36