Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $33.25 / $77.37	Facility		$21.99	$33.25	$77.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $26.60	Professional		$19.00	$19.00	$26.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.10 / $215.03 / $1,025.51	Facility		$141.10	$215.03	$1,025.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $49.35 / $49.35	Professional		$40.35	$49.35	$49.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $34.49	Professional		$19.00	$19.00	$34.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $98.91 / $254.05	Professional		$19.00	$98.91	$254.05
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 $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $40.24 / $43.11	Professional		$28.74	$40.24	$43.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.14 / $24.19	Professional		$19.00	$20.14	$24.19