Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $25.02 / $25.02	Facility		$25.02	$25.02	$25.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $25.02 / $41.48	Professional		$22.04	$25.02	$41.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.42 / $102.22 / $434.84	Facility		$60.42	$102.22	$434.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $38.40 / $38.40	Professional		$37.51	$38.40	$38.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $55.37	Facility		$40.14	$40.14	$55.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $58.50	Professional		$34.11	$34.11	$58.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $88.90 / $109.56	Professional		$50.34	$88.90	$109.56
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 $65.70 / $65.70 / $65.70	Professional		$65.70	$65.70	$65.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $30.90 / $32.44	Professional		$21.63	$30.90	$32.44
United Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $25.22 / $43.29	Professional		$18.88	$25.22	$43.29