Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $49.33 / $98.91	Facility		$31.61	$49.33	$98.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $31.61 / $49.33	Professional		$24.57	$31.61	$49.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $104.52 / $330.38	Facility		$46.55	$104.52	$330.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $38.01 / $72.86	Professional		$11.46	$38.01	$72.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $73.93 / $190.53	Facility		$34.65	$73.93	$190.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $41.22 / $61.66	Professional		$26.36	$41.22	$61.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $52.75 / $161.12	Professional		$36.27	$52.75	$161.12
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 $38.68 / $39.26 / $42.86	Professional		$38.68	$39.26	$42.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $32.34 / $44.84	Professional		$12.46	$32.34	$44.84
United Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $39.01 / $63.70	Professional		$29.18	$39.01	$63.70