Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $181.81 / $385.09	Facility		$32.65	$181.81	$385.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $23.89 / $35.24	Professional		$19.89	$23.89	$35.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $142.97 / $360.09	Facility		$37.29	$142.97	$360.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.96 / $20.96	Professional		$3.50	$20.96	$20.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $66.27 / $125.08	Facility		$27.99	$66.27	$125.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $31.70 / $41.30	Professional		$17.50	$31.70	$41.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $47.64 / $160.37	Professional		$27.76	$47.64	$160.37
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 $35.39 / $35.39 / $35.39	Professional		$35.39	$35.39	$35.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $18.67 / $34.03	Professional		$13.61	$18.67	$34.03
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $16.32 / $27.76	Professional		$11.43	$16.32	$27.76