Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $31.50 / $31.50	Facility		$31.50	$31.50	$31.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $31.50 / $49.03	Professional		$24.63	$31.50	$49.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $123.74 / $527.24	Facility		$73.14	$123.74	$527.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $46.58 / $46.58	Professional		$39.50	$46.58	$46.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $67.09	Facility		$36.72	$36.72	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $70.88	Professional		$26.81	$36.72	$70.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $75.83 / $91.94	Professional		$60.71	$75.83	$91.94
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 $79.68 / $79.68 / $79.68	Professional		$79.68	$79.68	$79.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.20 / $48.51	Professional		$32.34	$46.20	$48.51
United Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $30.58 / $63.70	Professional		$22.77	$30.58	$63.70