Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $65.70 / $105.99	Facility		$35.33	$65.70	$105.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $31.48 / $57.76	Professional		$27.20	$31.48	$57.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.22 / $112.51 / $371.28	Facility		$51.22	$112.51	$371.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $24.38 / $27.20	Professional		$3.50	$24.38	$27.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $86.14 / $162.31	Facility		$36.90	$86.14	$162.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $42.95 / $54.03	Professional		$23.08	$42.95	$54.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $61.83 / $333.73	Professional		$35.33	$61.83	$333.73
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 $45.93 / $45.93 / $45.93	Professional		$45.93	$45.93	$45.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $24.24 / $44.16	Professional		$17.67	$24.24	$44.16
United Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $21.20 / $41.26	Professional		$13.65	$21.20	$41.26