Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $31.75 / $31.75	Facility		$31.75	$31.75	$31.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $32.40 / $52.54	Professional		$27.13	$32.40	$52.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.90 / $297.42 / $648.71	Facility		$100.90	$297.42	$648.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $38.04 / $38.04	Professional		$33.04	$38.04	$38.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $83.83	Facility		$52.17	$52.17	$83.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $52.17 / $67.13	Professional		$44.34	$52.17	$67.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $90.88 / $116.99	Professional		$50.05	$90.88	$116.99
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 $65.06 / $65.06 / $65.06	Professional		$65.06	$65.06	$65.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $61.06 / $64.11	Professional		$42.74	$61.06	$64.11
United Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $46.85 / $80.86	Professional		$31.24	$46.85	$80.86