Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $85.11 / $154.88	Facility		$51.29	$85.11	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $46.77	Professional		$41.69	$41.69	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $61.66 / $83.18	Facility		$19.05	$61.66	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $51.29 / $51.29	Professional		$3.47	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $95.50 / $234.42	Facility		$33.11	$95.50	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $75.86	Professional		$41.69	$58.88	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $190.55	Professional		$51.29	$72.44	$190.55
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 $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $102.33	Facility		$38.90	$51.29	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $42.66	Professional		$18.62	$25.12	$42.66