Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $215.33 / $553.41	Facility		$47.66	$215.33	$553.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $26.84 / $29.86	Professional		$18.53	$26.84	$29.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $97.66 / $473.21	Facility		$42.18	$97.66	$473.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $35.97 / $51.13	Professional		$34.18	$35.97	$51.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $73.84 / $120.38	Facility		$2.43	$73.84	$120.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $34.20 / $38.38	Professional		$12.57	$34.20	$38.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $17.07 / $154.88	Professional		$11.19	$17.07	$154.88
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 $14.26 / $14.35 / $15.86	Professional		$14.26	$14.35	$15.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.28 / $4.57 / $4.93	Professional		$2.28	$4.57	$4.93
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $16.19 / $29.50	Professional		$12.29	$16.19	$29.50