Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $31.50 / $80.64	Facility		$31.50	$31.50	$80.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $32.08 / $52.40	Professional		$24.63	$32.08	$52.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $123.74 / $527.24	Facility		$73.14	$123.74	$527.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $46.58 / $46.58	Professional		$36.51	$46.58	$46.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $67.09	Facility		$34.22	$34.22	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $34.22 / $70.88	Professional		$24.98	$34.22	$70.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $70.48 / $94.36	Professional		$53.47	$70.48	$94.36
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 $79.68 / $79.68 / $79.68	Professional		$79.68	$79.68	$79.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $28.35 / $29.76	Professional		$19.84	$28.35	$29.76
United Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $30.43 / $50.96	Professional		$22.77	$30.43	$50.96