Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $57.54	Facility		$25.12	$41.69	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $44.67	Professional		$23.99	$25.12	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $147.91 / $436.52	Facility		$64.57	$147.91	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $34.67	Professional		$30.90	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $33.11	Professional		$25.12	$25.12	$33.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $151.36 / $245.47	Professional		$25.12	$151.36	$245.47
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 $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $36.31	Professional		$25.70	$33.88	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $40.74	Facility		$25.12	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $27.54	Professional		$25.12	$26.30	$27.54