Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $148.47 / $546.79	Facility		$40.17	$148.47	$546.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $30.04 / $32.54	Professional		$25.64	$30.04	$32.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $123.78 / $505.99	Facility		$48.67	$123.78	$505.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $38.47 / $54.68	Professional		$36.54	$38.47	$54.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $78.98 / $128.72	Facility		$2.58	$78.98	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $36.45 / $41.01	Professional		$13.40	$36.45	$41.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $19.80 / $106.47	Professional		$12.91	$19.80	$106.47
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 Facility Modifier Low / Median / High Price $43.63 / $325.48 / $325.48	Facility		$43.63	$325.48	$325.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $17.01 / $31.44	Professional		$9.53	$17.01	$31.44