Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.83 / $58.00 / $88.58	Facility		$27.83	$58.00	$88.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $29.19 / $67.88	Professional		$27.15	$29.19	$67.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $90.55 / $356.67	Facility		$49.21	$90.55	$356.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $23.42 / $26.13	Professional		$3.50	$23.42	$26.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $82.73 / $156.35	Facility		$35.47	$82.73	$156.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $39.63 / $51.63	Professional		$22.17	$39.63	$51.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $59.40 / $125.58	Professional		$34.61	$59.40	$125.58
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 $44.12 / $44.12 / $44.12	Professional		$44.12	$44.12	$44.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $23.28 / $42.43	Professional		$16.97	$23.28	$42.43
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.36 / $34.96	Professional		$14.25	$20.36	$34.96