Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $51.29	Facility		$25.12	$25.12	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $48.98	Professional		$20.89	$25.70	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $346.74	Facility		$60.26	$97.72	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.02 / $38.02	Professional		$37.15	$38.02	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $56.23	Facility		$39.81	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $54.95	Professional		$33.88	$33.88	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $117.49	Professional		$45.71	$89.13	$117.49
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 $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $30.90	Professional		$21.88	$21.88	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $74.13	Facility		$30.20	$40.74	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $38.02	Professional		$19.05	$25.12	$38.02