Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $98.79 / $588.03	Facility		$43.67	$98.79	$588.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $31.29 / $56.05	Professional		$26.67	$31.29	$56.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $105.55 / $339.70	Facility		$57.35	$105.55	$339.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $31.34 / $69.76	Professional		$9.82	$31.34	$69.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $69.50 / $190.53	Facility		$34.04	$69.50	$190.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $40.07 / $59.22	Professional		$24.98	$40.07	$59.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $51.28 / $126.88	Professional		$34.90	$51.28	$126.88
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 $37.04 / $37.60 / $41.17	Professional		$37.04	$37.60	$41.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $32.34 / $43.07	Professional		$10.68	$32.34	$43.07
United Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $37.04 / $55.09	Professional		$28.06	$37.04	$55.09