Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $85.68	Facility		$26.94	$26.94	$85.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $29.93	Professional		$26.94	$26.94	$29.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $67.25 / $437.59	Facility		$24.00	$67.25	$437.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $26.32 / $32.47	Professional		$26.32	$26.32	$32.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Facility		$26.94	$26.94	$26.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $31.77	Professional		$26.94	$26.94	$31.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $34.21 / $272.87	Professional		$22.90	$34.21	$272.87
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 $35.02 / $35.02 / $35.02	Professional		$35.02	$35.02	$35.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $34.88	Professional		$30.00	$30.00	$34.88
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $29.54	Professional		$26.94	$26.94	$29.54