Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $21.28 / $21.28	Facility		$21.28	$21.28	$21.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $21.28 / $33.11	Professional		$16.61	$21.28	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.29 / $83.39 / $356.19	Facility		$49.29	$83.39	$356.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $31.46 / $31.46	Professional		$26.68	$31.46	$31.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $45.28	Facility		$23.09	$23.09	$45.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.09 / $48.00	Professional		$16.86	$23.09	$48.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $54.43 / $65.41	Professional		$41.39	$54.43	$65.41
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 $53.81 / $53.81 / $53.81	Professional		$53.81	$53.81	$53.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $31.20 / $32.76	Professional		$21.84	$31.20	$32.76
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $20.53 / $35.45	Professional		$15.36	$20.53	$35.45