Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $61.66	Facility		$30.20	$30.20	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $53.70	Professional		$25.12	$30.90	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $416.87	Facility		$72.44	$114.82	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $45.71	Professional		$38.90	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $66.07	Facility		$33.11	$33.11	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $66.07	Professional		$24.55	$24.55	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $87.10	Professional		$53.70	$69.18	$87.10
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 $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $44.67	Professional		$31.62	$31.62	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $47.86 / $87.10	Facility		$22.39	$47.86	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $45.71	Professional		$22.39	$29.51	$45.71