Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $15.67 / $15.67	Facility		$15.67	$15.67	$15.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.67 / $25.97	Professional		$13.80	$15.67	$25.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $64.56 / $272.48	Facility		$38.15	$64.56	$272.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $24.06 / $24.06	Professional		$21.03	$24.06	$24.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $34.65	Facility		$25.14	$25.14	$34.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $25.14 / $36.75	Professional		$21.37	$25.14	$36.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $129.37 / $157.50	Professional		$31.66	$129.37	$157.50
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 $41.16 / $41.16 / $41.16	Professional		$41.16	$41.16	$41.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $19.34 / $20.30	Professional		$13.53	$19.34	$20.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $15.80 / $27.74	Professional		$11.76	$15.80	$27.74