Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $57.40 / $81.90	Facility		$28.70	$57.40	$81.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $28.86 / $44.49	Professional		$26.95	$28.86	$44.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $151.28 / $463.00	Facility		$47.25	$151.28	$463.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $26.95 / $53.20	Professional		$4.50	$26.95	$53.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.84 / $95.16 / $160.82	Facility		$56.84	$95.16	$160.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $42.46 / $58.97	Professional		$17.87	$42.46	$58.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $63.35 / $246.61	Professional		$38.50	$63.35	$246.61
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 $45.50 / $45.50 / $45.50	Professional		$45.50	$45.50	$45.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $47.60 / $52.50	Professional		$25.72	$47.60	$52.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $21.00 / $35.00	Professional		$14.70	$21.00	$35.00