Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $66.02 / $117.90	Facility		$29.22	$66.02	$117.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $29.58 / $39.03	Professional		$26.47	$29.58	$39.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $90.55 / $356.67	Facility		$49.21	$90.55	$356.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $23.42 / $26.13	Professional		$3.50	$23.42	$26.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $82.73 / $156.35	Facility		$35.47	$82.73	$156.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $41.30 / $52.02	Professional		$22.17	$41.30	$52.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $58.58 / $328.96	Professional		$35.64	$58.58	$328.96
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 $44.12 / $44.12 / $44.12	Professional		$44.12	$44.12	$44.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.89 / $18.67 / $42.43	Professional		$4.89	$18.67	$42.43
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $21.62 / $34.96	Professional		$14.25	$21.62	$34.96