Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $87.50 / $261.45	Facility		$29.48	$87.50	$261.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $24.19 / $27.43	Professional		$18.85	$24.19	$27.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.01 / $122.60 / $563.47	Facility		$44.01	$122.60	$563.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $30.80 / $53.45	Professional		$30.80	$30.80	$53.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $66.53 / $108.46	Facility		$2.17	$66.53	$108.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $30.60 / $34.61	Professional		$11.25	$30.60	$34.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $19.80 / $68.69	Professional		$13.17	$19.80	$68.69
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 $16.78 / $16.87 / $18.39	Professional		$16.78	$16.87	$18.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.28 / $4.70 / $9.40	Professional		$2.28	$4.70	$9.40
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $14.33 / $27.84	Professional		$9.27	$14.33	$27.84