Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $31.11 / $102.96	Facility		$31.11	$31.11	$102.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $31.11 / $48.31	Professional		$24.39	$31.11	$48.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $123.74 / $520.90	Facility		$73.14	$123.74	$520.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $46.01 / $46.01	Professional		$40.20	$46.01	$46.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $58.92	Facility		$39.15	$39.15	$58.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $39.15 / $70.13	Professional		$28.59	$39.15	$70.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $69.26 / $90.15	Professional		$52.56	$69.26	$90.15
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 $78.70 / $78.70 / $78.70	Professional		$78.70	$78.70	$78.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $45.63 / $47.91	Professional		$31.94	$45.63	$47.91
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $30.20 / $50.56	Professional		$22.27	$30.20	$50.56