Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $29.15 / $29.15	Facility		$29.15	$29.15	$29.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $29.55 / $38.32	Professional		$22.77	$29.55	$38.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $115.67 / $487.91	Facility		$68.37	$115.67	$487.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $43.10 / $43.10	Professional		$33.78	$43.10	$43.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $31.65 / $62.08	Facility		$31.65	$31.65	$62.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $31.65 / $65.63	Professional		$23.10	$31.65	$65.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $66.47 / $82.23	Professional		$53.21	$66.47	$82.23
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 $73.72 / $73.72 / $73.72	Professional		$73.72	$73.72	$73.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $42.75 / $44.88	Professional		$29.92	$42.75	$44.88
United Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $25.04 / $56.71	Facility		$17.11	$25.04	$56.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $28.30 / $48.57	Professional		$21.06	$28.30	$48.57