Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $89.80	Facility		$35.90	$35.90	$89.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $39.51	Professional		$35.92	$35.92	$39.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $44.90	Facility		$35.92	$35.92	$44.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $30.53 / $35.92	Professional		$3.50	$30.53	$35.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $85.93 / $165.29	Facility		$47.20	$85.93	$165.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $39.71 / $47.58	Professional		$35.90	$39.71	$47.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $62.86 / $208.94	Professional		$39.69	$62.86	$208.94
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 $46.70 / $46.70 / $46.70	Professional		$46.70	$46.70	$46.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $52.80	Professional		$30.00	$30.00	$52.80
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $21.55 / $35.92	Professional		$15.08	$21.55	$35.92