Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $97.72 / $389.05	Facility		$33.88	$97.72	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $79.43	Professional		$20.89	$33.11	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $112.20 / $281.84	Facility		$57.54	$112.20	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $31.62 / $69.18	Professional		$9.77	$31.62	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $52.48 / $131.83	Facility		$22.91	$52.48	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $58.88	Professional		$24.55	$38.90	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $144.54	Professional		$34.67	$70.79	$144.54
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 $37.15 / $38.02 / $40.74	Professional		$37.15	$38.02	$40.74
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 $19.05 / $74.13 / $229.09	Facility		$19.05	$74.13	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $52.48	Professional		$27.54	$35.48	$52.48