Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $64.57	Facility		$32.36	$32.36	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $56.23	Professional		$25.70	$32.36	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $120.23 / $436.52	Facility		$75.86	$120.23	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $47.86	Professional		$40.74	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $70.79	Facility		$34.67	$34.67	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $69.18	Professional		$25.70	$25.70	$69.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $93.33	Professional		$60.26	$75.86	$93.33
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 $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $47.86	Professional		$33.11	$33.11	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $50.12 / $91.20	Facility		$23.99	$50.12	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $47.86	Professional		$23.44	$31.62	$47.86