Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $64.27 / $131.66	Facility		$33.86	$64.27	$131.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $31.36 / $36.40	Professional		$24.62	$31.36	$36.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $158.94 / $798.81	Facility		$51.20	$158.94	$798.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $53.04 / $59.74	Professional		$43.30	$53.04	$59.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $86.29 / $149.13	Facility		$2.50	$86.29	$149.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $22.48 / $48.59	Professional		$12.08	$22.48	$48.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $17.73 / $241.32	Professional		$12.25	$17.73	$241.32
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 $14.40 / $14.42 / $15.83	Professional		$14.40	$14.42	$15.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $8.19 / $2,500.00	Professional		$4.09	$8.19	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $256.91 / $381.40 / $597.67	Facility		$256.91	$381.40	$597.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $17.89 / $36.11	Professional		$12.84	$17.89	$36.11