Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.67 / $92.14 / $138.21	Facility		$39.67	$92.14	$138.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $37.78 / $92.14	Professional		$24.42	$37.78	$92.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $148.19 / $484.16	Facility		$66.95	$148.19	$484.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $31.79 / $35.47	Professional		$3.50	$31.79	$35.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.65 / $114.72 / $211.45	Facility		$47.65	$114.72	$211.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $56.17 / $81.23	Professional		$29.79	$56.17	$81.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $85.23 / $241.32	Professional		$48.37	$85.23	$241.32
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 $59.89 / $59.89 / $59.89	Professional		$59.89	$59.89	$59.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $31.60 / $57.59	Professional		$23.04	$31.60	$57.59
United Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $92.14 / $92.14	Facility		$26.54	$92.14	$92.14
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $27.64 / $47.45	Professional		$19.35	$27.64	$47.45