Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $25.21	Facility		$25.21	$25.21	$25.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $25.21 / $39.22	Professional		$19.70	$25.21	$39.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $99.53 / $421.93	Facility		$58.83	$99.53	$421.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $37.27 / $37.27	Professional		$31.61	$37.27	$37.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $53.66	Facility		$27.38	$27.38	$53.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.38 / $57.00	Professional		$19.98	$27.38	$57.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $92.46 / $120.74	Professional		$49.04	$92.46	$120.74
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 $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $36.97 / $38.81	Professional		$25.87	$36.97	$38.81
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $24.34 / $42.00	Professional		$18.22	$24.34	$42.00