Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $68.79 / $102.60	Facility		$32.22	$68.79	$102.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $33.81 / $49.96	Professional		$31.45	$33.81	$49.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.06 / $169.20 / $520.03	Facility		$53.06	$169.20	$520.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $27.12 / $30.27	Professional		$3.50	$27.12	$30.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $87.45 / $181.67	Facility		$45.17	$87.45	$181.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $54.02 / $66.61	Professional		$20.19	$54.02	$66.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $71.15 / $195.52	Professional		$43.24	$71.15	$195.52
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 $51.10 / $51.10 / $51.10	Professional		$51.10	$51.10	$51.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $53.46 / $58.97	Professional		$22.99	$53.46	$58.97
United Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $78.62 / $78.62	Facility		$16.51	$78.62	$78.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $39.31	Professional		$16.51	$23.59	$39.31