Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $59.70 / $91.80	Facility		$27.08	$59.70	$91.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $26.02 / $43.67	Professional		$22.98	$26.02	$43.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $96.05 / $313.67	Facility		$43.40	$96.05	$313.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $22.98 / $22.98	Professional		$3.50	$22.98	$22.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $73.34 / $136.99	Facility		$31.19	$73.34	$136.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $36.34 / $45.62	Professional		$19.50	$36.34	$45.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $52.24 / $184.95	Professional		$31.34	$52.24	$184.95
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 $38.81 / $38.81 / $38.81	Professional		$38.81	$38.81	$38.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.42 / $37.31	Professional		$10.96	$16.42	$37.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $17.91 / $34.85	Professional		$12.54	$17.91	$34.85