Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $72.34 / $107.43	Facility		$32.19	$72.34	$107.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $32.07 / $49.71	Professional		$21.13	$32.07	$49.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.78 / $82.32 / $375.19	Facility		$47.78	$82.32	$375.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $30.11 / $30.11	Professional		$3.50	$30.11	$30.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $93.55 / $180.18	Facility		$28.06	$93.55	$180.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $45.02 / $59.38	Professional		$18.01	$45.02	$59.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $58.67 / $190.24	Professional		$39.13	$58.67	$190.24
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 $50.84 / $50.84 / $50.84	Professional		$50.84	$50.84	$50.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $22.99 / $48.89	Professional		$14.37	$22.99	$48.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $21.35 / $39.11	Professional		$15.62	$21.35	$39.11