Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $66.86 / $529.23	Facility		$30.01	$66.86	$529.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $26.03 / $52.06	Professional		$19.03	$26.03	$52.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.20 / $54.88 / $307.80	Facility		$32.20	$54.88	$307.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $21.42 / $22.55	Professional		$3.50	$21.42	$22.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $71.64 / $135.51	Facility		$30.59	$71.64	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $35.52 / $44.82	Professional		$19.12	$35.52	$44.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $48.69 / $153.25	Professional		$30.74	$48.69	$153.25
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 $38.06 / $38.06 / $38.06	Professional		$38.06	$38.06	$38.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $16.29 / $36.60	Professional		$8.14	$16.29	$36.60
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.57 / $34.19	Professional		$12.30	$17.57	$34.19