Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $73.62 / $105.04	Facility		$36.81	$73.62	$105.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $36.81 / $57.06	Professional		$33.67	$36.81	$57.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $194.04 / $593.91	Facility		$60.60	$194.04	$593.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $30.97 / $34.57	Professional		$3.50	$30.97	$34.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.92 / $99.51 / $206.98	Facility		$56.92	$99.51	$206.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $54.72 / $75.89	Professional		$21.95	$54.72	$75.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $81.25 / $301.20	Professional		$49.38	$81.25	$301.20
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 $58.36 / $58.36 / $58.36	Professional		$58.36	$58.36	$58.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $61.05 / $67.34	Professional		$22.99	$61.05	$67.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $26.93 / $44.89	Professional		$18.85	$26.93	$44.89