Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $81.28 / $125.89	Facility		$42.66	$81.28	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $57.54 / $67.61	Facility		$19.05	$57.54	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $77.62 / $194.98	Facility		$27.54	$77.62	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $61.66	Professional		$42.66	$48.98	$61.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $154.88	Professional		$42.66	$58.88	$154.88
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 $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
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 $31.62 / $42.66 / $85.11	Facility		$31.62	$42.66	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $42.66	Professional		$18.20	$25.12	$42.66