Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $52.10 / $412.41	Facility		$26.18	$52.10	$412.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $20.54 / $28.99	Professional		$12.08	$20.54	$28.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $74.09 / $239.69	Facility		$33.47	$74.09	$239.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.74 / $17.55	Professional		$3.50	$15.74	$17.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $55.42 / $105.72	Facility		$23.84	$55.42	$105.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $27.67 / $34.82	Professional		$14.90	$27.67	$34.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $39.92 / $177.99	Professional		$23.95	$39.92	$177.99
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 $29.65 / $29.65 / $29.65	Professional		$29.65	$29.65	$29.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.37 / $12.55 / $28.51	Professional		$8.37	$12.55	$28.51
United Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $14.53 / $26.63	Professional		$9.58	$14.53	$26.63