Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $69.18 / $112.20	Facility		$36.31	$69.18	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $63.10	Professional		$28.18	$36.31	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $125.89 / $338.84	Facility		$75.86	$125.89	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $36.31 / $83.18	Professional		$10.23	$36.31	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $60.26 / $134.90	Facility		$28.18	$60.26	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $72.44	Professional		$30.90	$47.86	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $120.23	Professional		$42.66	$75.86	$120.23
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 $43.65 / $44.67 / $48.98	Professional		$43.65	$44.67	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $74.13 / $229.09	Facility		$25.12	$74.13	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $64.57	Professional		$33.11	$43.65	$64.57