Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $67.78 / $1,899.20	Facility		$29.68	$67.78	$1,899.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $24.34 / $59.36	Professional		$15.73	$24.34	$59.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.78 / $96.05 / $307.27	Facility		$44.78	$96.05	$307.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.48 / $22.85	Professional		$3.50	$20.48	$22.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $72.48 / $136.99	Facility		$31.01	$72.48	$136.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $36.34 / $45.43	Professional		$19.39	$36.34	$45.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $53.72 / $311.77	Professional		$31.16	$53.72	$311.77
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 $38.58 / $38.58 / $38.58	Professional		$38.58	$38.58	$38.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $20.36 / $37.10	Professional		$14.84	$20.36	$37.10
United Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $59.36 / $59.36	Facility		$17.10	$59.36	$59.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $18.91 / $34.65	Professional		$12.47	$18.91	$34.65