Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $162.18 / $588.84	Facility		$38.90	$162.18	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $42.66	Professional		$20.42	$28.84	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $138.04 / $501.19	Facility		$46.77	$138.04	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $54.95	Professional		$36.31	$38.90	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $66.07 / $134.90	Facility		$0.71	$66.07	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $32.36 / $40.74	Professional		$12.88	$32.36	$40.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.39 / $125.89	Professional		$14.13	$22.39	$125.89
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 $16.60 / $16.98 / $18.20	Professional		$16.60	$16.98	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.57 / $9.33	Professional		$2.29	$4.57	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $144.54 / $407.38	Facility		$16.98	$144.54	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $32.36	Professional		$11.48	$16.22	$32.36