Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.59 / $23.59 / $23.59	Facility		$23.59	$23.59	$23.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $25.40 / $41.87	Professional		$21.28	$25.40	$41.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $96.84 / $410.07	Facility		$57.24	$96.84	$410.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Professional		$36.22	$36.22	$36.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $59.02	Facility		$29.78	$29.78	$59.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $29.77 / $55.13	Professional		$21.74	$29.77	$55.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $57.19 / $71.48	Professional		$47.17	$57.19	$71.48
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 $61.96 / $61.96 / $61.96	Professional		$61.96	$61.96	$61.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $35.92 / $37.71	Professional		$25.14	$35.92	$37.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $23.77 / $40.81	Professional		$19.80	$23.77	$40.81