Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $25.21	Facility		$25.21	$25.21	$25.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $25.21 / $39.22	Professional		$19.70	$25.21	$39.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $99.53 / $421.93	Facility		$58.83	$99.53	$421.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $37.27 / $37.27	Professional		$31.61	$37.27	$37.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $53.66	Facility		$33.72	$33.72	$53.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $33.72 / $57.00	Professional		$24.62	$33.72	$57.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $57.05 / $71.65	Professional		$44.55	$57.05	$71.65
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 $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $36.97 / $38.81	Professional		$25.87	$36.97	$38.81
United Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $70.09 / $130.25	Facility		$49.04	$70.09	$130.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $24.47 / $45.89	Professional		$18.22	$24.47	$45.89