Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $62.64 / $93.03	Facility		$29.12	$62.64	$93.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.77 / $59.26	Professional		$22.39	$27.77	$59.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.53 / $79.58 / $324.86	Facility		$45.53	$79.58	$324.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $24.77 / $26.07	Professional		$3.50	$24.77	$26.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $81.00 / $156.35	Facility		$27.36	$81.00	$156.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $39.24 / $51.63	Professional		$17.88	$39.24	$51.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $59.26 / $236.04	Professional		$34.54	$59.26	$236.04
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 $44.02 / $44.02 / $44.02	Professional		$44.02	$44.02	$44.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $18.62 / $42.33	Professional		$12.44	$18.62	$42.33
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $34.68	Professional		$14.22	$20.32	$34.68