Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $54.06 / $79.48	Facility		$26.82	$54.06	$79.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $39.84 / $68.45	Professional		$25.34	$39.84	$68.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $195.00 / $489.78	Facility		$91.96	$195.00	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $50.04 / $86.42	Professional		$31.88	$50.04	$86.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.70 / $44.70 / $49.90	Facility		$44.70	$44.70	$49.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $50.65 / $81.41	Professional		$31.32	$50.65	$81.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $65.87 / $132.19	Professional		$38.72	$65.87	$132.19
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 $33.38 / $34.72 / $58.07	Professional		$33.38	$34.72	$58.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $67.01	Professional		$32.34	$32.34	$67.01
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $64.31 / $93.87	Professional		$40.84	$64.31	$93.87