Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $19.69 / $19.69	Facility		$19.69	$19.69	$19.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $19.69 / $30.65	Professional		$15.37	$19.69	$30.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $78.01 / $329.54	Facility		$46.11	$78.01	$329.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $29.12 / $29.12	Professional		$24.69	$29.12	$29.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $25.64 / $41.92	Facility		$25.64	$25.64	$41.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $25.64 / $44.25	Professional		$18.72	$25.64	$44.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $48.79 / $58.52	Professional		$38.31	$48.79	$58.52
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 $49.80 / $49.80 / $49.80	Professional		$49.80	$49.80	$49.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $28.88 / $30.32	Professional		$20.21	$28.88	$30.32
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $19.02 / $33.56	Professional		$13.76	$19.02	$33.56