Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $26.79 / $26.79	Facility		$26.79	$26.79	$26.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $27.14 / $41.52	Professional		$20.92	$27.14	$41.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $104.91 / $448.46	Facility		$62.01	$104.91	$448.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $39.61 / $39.61	Professional		$32.07	$39.61	$39.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $57.04	Facility		$34.89	$34.89	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $34.89 / $60.38	Professional		$25.47	$34.89	$60.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $66.78 / $80.25	Professional		$52.12	$66.78	$80.25
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 $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $14.75 / $15.48	Professional		$10.32	$14.75	$15.48
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $26.00 / $44.64	Professional		$19.35	$26.00	$44.64