Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $40.81 / $59.79	Facility		$29.60	$40.81	$59.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.12 / $35.88	Professional		$23.88	$24.12	$35.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $204.37 / $525.45	Facility		$136.24	$204.37	$525.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $49.67 / $56.09	Professional		$30.00	$49.67	$56.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $23.88 / $23.88	Facility		$23.88	$23.88	$23.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $51.77	Professional		$23.88	$23.88	$51.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $73.45 / $393.60	Professional		$23.88	$73.45	$393.60
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 $31.04 / $31.04 / $31.04	Professional		$31.04	$31.04	$31.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $38.77 / $41.54	Professional		$27.69	$38.77	$41.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.31 / $29.85	Professional		$23.88	$25.31	$29.85