Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $28.59 / $28.59	Facility		$28.59	$28.59	$28.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $30.55 / $49.91	Professional		$25.80	$30.55	$49.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $115.67 / $497.07	Facility		$68.37	$115.67	$497.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $43.91	Professional		$43.91	$43.91	$43.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $70.33	Facility		$37.36	$37.36	$70.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.36 / $67.13	Professional		$27.27	$37.36	$67.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $74.34 / $89.81	Professional		$57.77	$74.34	$89.81
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 $75.09 / $75.09 / $75.09	Professional		$75.09	$75.09	$75.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $43.54 / $45.71	Professional		$30.47	$43.54	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $28.82 / $51.03	Professional		$24.02	$28.82	$51.03