Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $37.24 / $58.48	Facility		$31.08	$37.24	$58.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.08 / $33.85	Professional		$30.78	$31.08	$33.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.12 / $135.82 / $647.76	Facility		$89.12	$135.82	$647.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $35.56 / $40.15	Professional		$35.56	$35.56	$40.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Facility		$30.78	$30.78	$30.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $38.02	Professional		$30.78	$30.78	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $46.17 / $94.36	Professional		$30.78	$46.17	$94.36
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 $40.01 / $40.01 / $40.01	Professional		$40.01	$40.01	$40.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $44.16 / $47.31	Professional		$31.54	$44.16	$47.31
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $32.63 / $36.32	Professional		$30.78	$32.63	$36.32