Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $55.35 / $82.18	Facility		$25.76	$55.35	$82.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $24.53 / $38.02	Professional		$21.46	$24.53	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $102.60 / $277.56	Facility		$41.60	$102.60	$277.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $23.04 / $26.69	Professional		$19.35	$23.04	$26.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $71.58 / $136.99	Facility		$24.73	$71.58	$136.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $29.02 / $56.76	Professional		$21.99	$29.02	$56.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $47.87 / $199.04	Professional		$31.42	$47.87	$199.04
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 $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $22.36 / $37.40	Professional		$12.31	$22.36	$37.40
United Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $37.58 / $37.58	Facility		$37.58	$37.58	$37.58
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $17.46 / $29.92	Professional		$12.57	$17.46	$29.92