Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $47.22 / $75.54	Facility		$26.98	$47.22	$75.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $24.98 / $29.00	Professional		$19.46	$24.98	$29.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $136.38 / $639.10	Facility		$46.40	$136.38	$639.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $68.73 / $118.80	Facility		$1.99	$68.73	$118.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $21.01 / $38.77	Professional		$10.47	$21.01	$38.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $33.81 / $167.34	Professional		$22.73	$33.81	$167.34
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 $26.72 / $26.74 / $29.55	Professional		$26.72	$26.74	$29.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $14.81 / $31.22	Professional		$11.24	$14.81	$31.22