Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $51.53 / $77.22	Facility		$26.98	$51.53	$77.22
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 $40.00 / $126.64 / $639.10	Facility		$40.00	$126.64	$639.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $42.25 / $47.59	Professional		$34.50	$42.25	$47.59
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 $9.55 / $18.02 / $38.77	Professional		$9.55	$18.02	$38.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $22.78 / $535.55	Professional		$15.74	$22.78	$535.55
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 $18.23 / $18.51 / $20.54	Professional		$18.23	$18.51	$20.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $5.05 / $2,500.00	Professional		$2.52	$5.05	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $14.25 / $29.08	Professional		$10.33	$14.25	$29.08