Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $67.58 / $85.48	Facility		$29.95	$67.58	$85.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $29.95 / $67.58	Professional		$24.15	$29.95	$67.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.31 / $157.87 / $483.27	Facility		$49.31	$157.87	$483.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $28.13 / $36.53	Professional		$4.50	$28.13	$36.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.11 / $87.36 / $168.27	Facility		$30.11	$87.36	$168.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $42.13 / $55.75	Professional		$18.70	$42.13	$55.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $58.45 / $237.80	Professional		$36.53	$58.45	$237.80
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 $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $18.27 / $26.84	Professional		$13.41	$18.27	$26.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $20.09 / $37.63	Professional		$10.53	$20.09	$37.63