Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $32.40 / $32.40	Facility		$32.40	$32.40	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $32.40 / $50.43	Professional		$29.41	$32.40	$50.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $126.43 / $542.38	Facility		$74.73	$126.43	$542.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $47.91 / $47.91	Professional		$41.55	$47.91	$47.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $68.56	Facility		$40.77	$40.77	$68.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $73.86	Professional		$29.76	$29.76	$73.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $78.17 / $96.69	Professional		$61.99	$78.17	$96.69
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 $81.95 / $81.95 / $81.95	Professional		$81.95	$81.95	$81.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $47.52 / $49.89	Professional		$33.26	$47.52	$49.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $31.45 / $53.99	Professional		$25.77	$31.45	$53.99