Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.90 / $125.89	Facility		$19.05	$38.90	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $23.99	Professional		$12.88	$17.78	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $251.19 / $478.63	Facility		$169.82	$251.19	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $24.55 / $33.88	Professional		$22.91	$24.55	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $40.74 / $83.18	Facility		$0.44	$40.74	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $32.36	Professional		$7.59	$15.14	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $29.51 / $81.28	Professional		$12.59	$29.51	$81.28
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 $14.45 / $14.45 / $15.85	Professional		$14.45	$14.45	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $8.13 / $2,511.89	Professional		$4.07	$8.13	$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 $8.13 / $10.23 / $17.38	Professional		$8.13	$10.23	$17.38