Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $65.23 / $199.62	Facility		$32.61	$65.23	$199.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $28.05 / $46.20	Professional		$17.29	$28.05	$46.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $104.27 / $342.88	Facility		$47.29	$104.27	$342.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $22.51 / $25.12	Professional		$3.50	$22.51	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $96.43 / $150.40	Facility		$33.71	$96.43	$150.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $39.65 / $87.84	Professional		$31.85	$39.65	$87.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $63.08 / $214.90	Professional		$34.25	$63.08	$214.90
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 $42.41 / $42.41 / $42.41	Professional		$42.41	$42.41	$42.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $17.94 / $32.61	Professional		$14.15	$17.94	$32.61
United Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $54.67 / $54.67	Facility		$54.67	$54.67	$54.67
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $21.20 / $32.61	Professional		$13.70	$21.20	$32.61