Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $33.90 / $33.90	Facility		$33.90	$33.90	$33.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $33.90 / $43.31	Professional		$23.35	$33.90	$43.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $134.50 / $567.39	Facility		$79.50	$134.50	$567.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $50.11 / $50.11	Professional		$32.84	$50.11	$50.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $64.04	Facility		$30.91	$30.91	$64.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $30.91 / $76.50	Professional		$22.56	$30.91	$76.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $81.77 / $100.12	Professional		$59.35	$81.77	$100.12
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 $85.72 / $85.72 / $85.72	Professional		$85.72	$85.72	$85.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $53.18 / $55.83	Professional		$37.22	$53.18	$55.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $31.87 / $56.47	Professional		$20.56	$31.87	$56.47