Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $64.57 / $131.83	Facility		$33.11	$64.57	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $42.66	Professional		$22.91	$30.90	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $245.47 / $707.95	Facility		$53.70	$245.47	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $72.44 / $144.54	Facility		$0.78	$72.44	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.91 / $54.95	Professional		$12.02	$22.91	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $36.31 / $281.84	Professional		$12.59	$36.31	$281.84
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 $12.88 / $17.78 / $30.20	Professional		$12.88	$17.78	$30.20