Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $52.48 / $109.65	Facility		$26.30	$52.48	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $33.88	Professional		$19.05	$25.12	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $229.09 / $575.44	Facility		$48.98	$229.09	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $57.54 / $117.49	Facility		$0.62	$57.54	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.95 / $43.65	Professional		$10.47	$19.95	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $107.15 / $194.98	Professional		$23.44	$107.15	$194.98
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 $26.92 / $26.92 / $29.51	Professional		$26.92	$26.92	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $144.54 / $457.09	Facility		$141.25	$144.54	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.13 / $23.99	Professional		$10.72	$14.13	$23.99