Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $52.48 / $91.20	Facility		$30.20	$52.48	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $38.02	Professional		$19.95	$25.12	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $74.13 / $275.42	Facility		$40.74	$74.13	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $26.92	Professional		$19.50	$22.91	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $60.26 / $138.04	Facility		$19.50	$60.26	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $53.70	Professional		$21.88	$28.84	$53.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $208.93	Professional		$33.11	$52.48	$208.93
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 $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $30.20 / $60.26	Facility		$11.22	$30.20	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $30.20	Professional		$12.59	$17.78	$30.20