Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $51.45 / $112.86	Facility		$36.03	$51.45	$112.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $36.03 / $52.67	Professional		$30.74	$36.03	$52.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $128.19 / $407.45	Facility		$76.44	$128.19	$407.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $37.21 / $82.84	Professional		$10.23	$37.21	$82.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $86.08 / $235.53	Facility		$46.23	$86.08	$235.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $49.80 / $73.51	Professional		$30.74	$49.80	$73.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $62.79 / $112.37	Professional		$41.94	$62.79	$112.37
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 $43.98 / $44.85 / $48.91	Professional		$43.98	$44.85	$48.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $32.34 / $51.16	Professional		$11.12	$32.34	$51.16
United Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $47.39 / $67.47	Professional		$34.63	$47.39	$67.47