Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.35 / $18.35 / $394.63	Facility		$18.35	$18.35	$394.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $18.35 / $28.62	Professional		$16.26	$18.35	$28.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $72.63 / $307.11	Facility		$42.93	$72.63	$307.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $27.13 / $27.13	Professional		$23.01	$27.13	$27.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $41.90	Facility		$23.10	$23.10	$41.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.10 / $41.25	Professional		$16.86	$23.10	$41.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $45.66 / $56.60	Professional		$35.70	$45.66	$56.60
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 $46.41 / $46.41 / $46.41	Professional		$46.41	$46.41	$46.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.83 / $26.91 / $28.25	Professional		$18.83	$26.91	$28.25
United Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $17.80 / $31.54	Professional		$14.85	$17.80	$31.54