Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.18 / $204.57 / $370.27	Facility		$38.18	$204.57	$370.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $28.78 / $56.12	Professional		$24.89	$28.78	$56.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.66 / $105.24 / $302.43	Facility		$58.66	$105.24	$302.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $34.20 / $65.56	Professional		$11.05	$34.20	$65.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $61.74 / $196.06	Facility		$29.18	$61.74	$196.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $38.71 / $55.48	Professional		$23.45	$38.71	$55.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $50.44 / $132.91	Professional		$34.14	$50.44	$132.91
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 $34.81 / $35.22 / $38.57	Professional		$34.81	$35.22	$38.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $32.34 / $40.35	Professional		$12.01	$32.34	$40.35
United Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $206.53 / $337.69	Facility		$132.00	$206.53	$337.69
United Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $35.15 / $55.04	Professional		$27.52	$35.15	$55.04