Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $50.12	Facility		$25.12	$25.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $43.65	Professional		$19.95	$25.12	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $95.50 / $338.84	Facility		$58.88	$95.50	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $37.15	Professional		$31.62	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $54.95	Facility		$27.54	$27.54	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $53.70	Professional		$19.95	$19.95	$53.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $72.44	Professional		$44.67	$56.23	$72.44
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 $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $37.15	Professional		$25.70	$25.70	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $38.90 / $70.79	Facility		$18.62	$38.90	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $38.02	Professional		$18.20	$24.55	$38.02