Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $27.36 / $27.36	Facility		$27.36	$27.36	$27.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $29.46 / $46.46	Professional		$27.36	$29.46	$46.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $112.98 / $475.58	Facility		$66.78	$112.98	$475.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $42.01 / $42.01	Professional		$42.01	$42.01	$42.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $60.80	Facility		$34.54	$34.54	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $34.54 / $64.13	Professional		$25.21	$34.54	$64.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $70.41 / $85.96	Professional		$55.27	$70.41	$85.96
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 $71.84 / $71.84 / $71.84	Professional		$71.84	$71.84	$71.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $41.66 / $43.74	Professional		$29.16	$41.66	$43.74
United Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $27.58 / $48.83	Professional		$22.98	$27.58	$48.83