Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $50.67 / $108.85	Facility		$28.76	$50.67	$108.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $19.80 / $34.81	Professional		$17.10	$19.80	$34.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $62.63 / $262.72	Facility		$36.11	$62.63	$262.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.89 / $21.09	Professional		$3.50	$18.89	$21.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $65.50 / $126.57	Facility		$22.17	$65.50	$126.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $31.80 / $41.81	Professional		$14.06	$31.80	$41.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $41.50 / $176.15	Professional		$28.76	$41.50	$176.15
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 $35.61 / $35.61 / $35.61	Professional		$35.61	$35.61	$35.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $15.06 / $34.24	Professional		$7.01	$15.06	$34.24
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $16.43 / $28.09	Professional		$11.50	$16.43	$28.09