Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $26.26 / $69.52	Facility		$19.76	$26.26	$69.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $21.70 / $23.91	Professional		$19.76	$21.70	$23.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.39 / $94.15 / $493.90	Facility		$33.39	$94.15	$493.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $41.41	Professional		$36.67	$36.67	$41.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Facility		$21.70	$21.70	$21.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $34.15	Professional		$21.70	$21.70	$34.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $52.58 / $171.00	Professional		$21.70	$52.58	$171.00
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 $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $36.96 / $39.60	Professional		$26.40	$36.96	$39.60
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.00 / $26.26	Professional		$21.70	$23.00	$26.26