Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $22.05 / $22.05	Facility		$22.05	$22.05	$22.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $22.05 / $34.32	Professional		$17.23	$22.05	$34.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $86.08 / $369.10	Facility		$50.88	$86.08	$369.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $32.60 / $32.60	Professional		$27.65	$32.60	$32.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $46.95	Facility		$26.67	$26.67	$46.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $26.67 / $49.88	Professional		$19.47	$26.67	$49.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $49.91 / $62.21	Professional		$39.20	$49.91	$62.21
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 $55.77 / $55.77 / $55.77	Professional		$55.77	$55.77	$55.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $32.33 / $33.94	Professional		$22.63	$32.33	$33.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $21.40 / $40.88	Professional		$15.94	$21.40	$40.88