Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $46.39 / $90.32	Facility		$26.51	$46.39	$90.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $35.11	Professional		$26.51	$26.51	$35.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $124.87 / $837.81	Facility		$49.06	$124.87	$837.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $60.02	Professional		$49.06	$49.06	$60.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Facility		$26.51	$26.51	$26.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $42.81	Professional		$26.51	$26.51	$42.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $85.17 / $242.31	Professional		$26.51	$85.17	$242.31
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 $34.46 / $34.46 / $34.46	Professional		$34.46	$34.46	$34.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $46.33 / $49.64	Professional		$33.09	$46.33	$49.64
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $28.10 / $35.11	Professional		$26.51	$28.10	$35.11