Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $103.49 / $692.16	Facility		$36.53	$103.49	$692.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $21.53 / $36.04	Professional		$16.71	$21.53	$36.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $107.60 / $417.63	Facility		$39.11	$107.60	$417.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $28.85 / $41.01	Professional		$27.41	$28.85	$41.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $59.22 / $96.54	Facility		$1.95	$59.22	$96.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $27.45 / $30.81	Professional		$9.61	$27.45	$30.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $19.50 / $81.02	Professional		$12.84	$19.50	$81.02
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 $16.37 / $16.46 / $17.98	Professional		$16.37	$16.46	$17.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $15.52 / $24.78	Professional		$10.68	$15.52	$24.78