Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $25.97 / $25.97	Facility		$25.97	$25.97	$25.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $25.97 / $40.42	Professional		$20.30	$25.97	$40.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.42 / $102.22 / $434.84	Facility		$60.42	$102.22	$434.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $55.31	Facility		$33.84	$33.84	$55.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $33.84 / $58.50	Professional		$24.70	$33.84	$58.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $72.08 / $89.35	Professional		$50.53	$72.08	$89.35
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 $65.69 / $65.69 / $65.69	Professional		$65.69	$65.69	$65.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $38.10 / $40.00	Professional		$26.67	$38.10	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $25.21 / $43.28	Professional		$17.64	$25.21	$43.28