Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Facility		$26.71	$26.71	$26.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $27.21 / $37.24	Professional		$25.62	$27.21	$37.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $104.91 / $447.17	Facility		$62.01	$104.91	$447.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $39.50 / $39.50	Professional		$34.52	$39.50	$39.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $56.00	Facility		$31.92	$31.92	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $31.92 / $60.38	Professional		$23.30	$31.92	$60.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $65.66 / $80.00	Professional		$50.91	$65.66	$80.00
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 $67.56 / $67.56 / $67.56	Professional		$67.56	$67.56	$67.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $39.17 / $41.12	Professional		$27.41	$39.17	$41.12
United Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $25.93 / $45.90	Professional		$20.47	$25.93	$45.90