Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $72.15 / $106.14	Facility		$33.54	$72.15	$106.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $31.98 / $69.43	Professional		$30.03	$31.98	$69.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.65 / $168.57 / $515.91	Facility		$52.65	$168.57	$515.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $93.29 / $180.18	Facility		$27.26	$93.29	$180.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $45.02 / $57.17	Professional		$13.92	$45.02	$57.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $54.99 / $111.89	Professional		$37.93	$54.99	$111.89
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 $50.70 / $50.70 / $50.70	Professional		$50.70	$50.70	$50.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $19.50 / $39.00	Professional		$2.44	$19.50	$39.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.66 / $39.00	Professional		$12.02	$16.66	$39.00