Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $53.70 / $97.72	Facility		$26.30	$53.70	$97.72
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 $41.69 / $229.09 / $575.44	Facility		$41.69	$229.09	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $47.86	Professional		$34.67	$42.66	$47.86
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 $8.91 / $17.78 / $43.65	Professional		$8.91	$17.78	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $37.15 / $630.96	Professional		$15.85	$37.15	$630.96
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 $18.20 / $18.62 / $20.42	Professional		$18.20	$18.62	$20.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $5.01 / $2,511.89	Professional		$2.51	$5.01	$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 $10.00 / $14.13 / $23.99	Professional		$10.00	$14.13	$23.99