Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Facility		$23.14	$23.14	$23.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $23.14 / $34.01	Professional		$16.18	$23.14	$34.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $91.46 / $387.30	Facility		$54.06	$91.46	$387.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $34.22 / $34.22	Professional		$28.79	$34.22	$34.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $39.65	Facility		$29.97	$29.97	$39.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $52.13	Professional		$21.88	$21.88	$52.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $49.99 / $92.52	Professional		$39.65	$49.99	$92.52
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 $58.53 / $58.53 / $58.53	Professional		$58.53	$58.53	$58.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $25.99 / $27.28	Professional		$18.19	$25.99	$27.28
United Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $21.93 / $38.90	Professional		$14.99	$21.93	$38.90