Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $28.05 / $130.19	Facility		$24.66	$28.05	$130.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $28.05 / $33.89	Professional		$24.07	$28.05	$33.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $100.04 / $292.52	Facility		$18.73	$100.04	$292.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $33.95 / $65.08	Professional		$12.69	$33.95	$65.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $100.63 / $100.63	Facility		$100.63	$100.63	$100.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $39.86 / $62.57	Professional		$24.57	$39.86	$62.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $94.46 / $180.68	Professional		$56.19	$94.46	$180.68
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 $66.40 / $67.50 / $78.64	Professional		$66.40	$67.50	$78.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $32.34 / $2,500.00	Professional		$13.44	$32.34	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $41.77 / $52.91	Facility		$11.35	$41.77	$52.91
United Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $65.81 / $103.58	Professional		$49.36	$65.81	$103.58