Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $35.42 / $89.18	Facility		$15.59	$35.42	$89.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $55.70 / $63.00	Professional		$35.42	$55.70	$63.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.70 / $53.32 / $68.79	Facility		$44.70	$53.32	$68.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $100.04 / $100.04	Professional		$82.18	$100.04	$100.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.58 / $104.42	Facility		$50.12	$54.58	$104.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $84.67 / $101.44	Professional		$80.67	$84.67	$101.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $92.90 / $156.12	Professional		$66.34	$92.90	$156.12
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 $84.57 / $85.55 / $92.90	Professional		$84.57	$85.55	$92.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $63.39 / $63.39	Facility		$63.39	$63.39	$63.39
United Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $78.43 / $125.70	Professional		$54.65	$78.43	$125.70