Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $87.98 / $120.83	Facility		$37.86	$87.98	$120.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $36.07 / $55.91	Professional		$23.32	$36.07	$55.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.78 / $139.96 / $462.32	Facility		$63.78	$139.96	$462.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $30.35 / $33.86	Professional		$3.50	$30.35	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $123.08 / $202.51	Facility		$45.70	$123.08	$202.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $53.69 / $91.64	Professional		$32.47	$53.69	$91.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $81.38 / $345.40	Professional		$46.19	$81.38	$345.40
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 $57.19 / $57.19 / $57.19	Professional		$57.19	$57.19	$57.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $30.18 / $54.99	Professional		$22.00	$30.18	$54.99
United Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $43.99 / $52.79	Facility		$30.18	$43.99	$52.79
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $26.98 / $43.99	Professional		$18.48	$26.98	$43.99