Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $70.76 / $211.57	Facility		$30.98	$70.76	$211.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $26.93 / $33.04	Professional		$16.42	$26.93	$33.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $87.82 / $325.55	Facility		$44.92	$87.82	$325.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $23.85 / $23.85	Professional		$3.50	$23.85	$23.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $75.90 / $142.94	Facility		$32.36	$75.90	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $37.58 / $47.22	Professional		$20.23	$37.58	$47.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $53.74 / $257.17	Professional		$32.53	$53.74	$257.17
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 $40.27 / $40.27 / $40.27	Professional		$40.27	$40.27	$40.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $17.04 / $38.72	Professional		$10.58	$17.04	$38.72
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $19.00 / $36.19	Professional		$13.01	$19.00	$36.19