Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $81.45 / $97.78	Facility		$37.86	$81.45	$97.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $36.10 / $77.05	Professional		$33.90	$36.10	$77.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.44 / $189.50 / $582.40	Facility		$59.44	$189.50	$582.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $32.20 / $33.90	Professional		$3.50	$32.20	$33.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $105.32 / $202.51	Facility		$30.77	$105.32	$202.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $48.43 / $63.99	Professional		$12.81	$48.43	$63.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $62.08 / $258.94	Professional		$35.32	$62.08	$258.94
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 $57.24 / $57.24 / $57.24	Professional		$57.24	$57.24	$57.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $24.22 / $32.36	Professional		$12.78	$24.22	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $18.48 / $44.03	Professional		$12.60	$18.48	$44.03