Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Facility		$29.33	$29.33	$29.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $31.58 / $49.80	Professional		$26.46	$31.58	$49.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $121.05 / $509.86	Facility		$71.55	$121.05	$509.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $45.03 / $45.03	Professional		$45.03	$45.03	$45.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $65.18	Facility		$37.03	$37.03	$65.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.03 / $68.63	Professional		$27.03	$37.03	$68.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $81.97 / $100.07	Professional		$59.25	$81.97	$100.07
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 $77.03 / $77.03 / $77.03	Professional		$77.03	$77.03	$77.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $44.67 / $46.90	Professional		$31.26	$44.67	$46.90
United Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $29.56 / $50.75	Professional		$24.64	$29.56	$50.75