Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $61.71 / $178.77	Facility		$33.17	$61.71	$178.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $30.86 / $38.57	Professional		$20.05	$30.86	$38.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $162.16 / $562.22	Facility		$50.91	$162.16	$562.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $28.21 / $29.70	Professional		$3.50	$28.21	$29.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $96.00 / $177.20	Facility		$26.95	$96.00	$177.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $44.42 / $58.85	Professional		$31.50	$44.42	$58.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $63.23 / $341.73	Professional		$40.50	$63.23	$341.73
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 $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $26.46 / $48.21	Professional		$19.29	$26.46	$48.21
United Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $46.28 / $46.28	Facility		$46.28	$46.28	$46.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.14 / $38.57	Professional		$16.20	$23.14	$38.57