Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $64.95 / $80.61	Facility		$30.19	$64.95	$80.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $28.79 / $44.62	Professional		$13.86	$28.79	$44.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $151.09 / $464.37	Facility		$47.39	$151.09	$464.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $25.68 / $27.03	Professional		$3.50	$25.68	$27.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $83.98 / $162.31	Facility		$24.53	$83.98	$162.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $40.47 / $51.40	Professional		$11.88	$40.47	$51.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $56.18 / $184.62	Professional		$35.11	$56.18	$184.62
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 $45.64 / $45.64 / $45.64	Professional		$45.64	$45.64	$45.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $24.09 / $43.89	Professional		$17.55	$24.09	$43.89
United Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $35.11	Facility		$11.53	$11.53	$35.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.75 / $36.15	Professional		$10.19	$14.75	$36.15