Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $30.68 / $51.44	Professional		$26.67	$30.68	$51.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $115.67 / $495.31	Facility		$68.37	$115.67	$495.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $43.75 / $43.75	Professional		$43.75	$43.75	$43.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $76.45	Facility		$35.97	$35.97	$76.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $35.97 / $66.75	Professional		$26.26	$35.97	$66.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $75.09 / $91.67	Professional		$57.56	$75.09	$91.67
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 $74.83 / $74.83 / $74.83	Professional		$74.83	$74.83	$74.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $43.39 / $45.55	Professional		$30.37	$43.39	$45.55
United Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $28.72 / $50.84	Professional		$23.93	$28.72	$50.84