Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $35.52 / $65.01	Facility		$29.50	$35.52	$65.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.98 / $35.52	Professional		$26.71	$26.98	$35.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.61 / $289.17 / $747.99	Facility		$101.61	$289.17	$747.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $34.00 / $37.94	Professional		$33.60	$34.00	$37.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Facility		$26.71	$26.71	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $39.24	Professional		$26.71	$26.71	$39.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $61.91 / $144.77	Professional		$26.71	$61.91	$144.77
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 $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $42.45 / $45.48	Professional		$30.32	$42.45	$45.48
United Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $50.03 / $50.03	Facility		$30.32	$50.03	$50.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $28.31 / $33.39	Professional		$26.71	$28.31	$33.39