Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $52.48 / $97.72	Facility		$25.70	$52.48	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $32.36	Professional		$18.20	$23.99	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $239.88 / $691.83	Facility		$44.67	$239.88	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $42.66	Professional		$30.90	$33.11	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $54.95 / $114.82	Facility		$0.59	$54.95	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.05 / $42.66	Professional		$9.77	$19.05	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $69.18 / $147.91	Professional		$30.20	$69.18	$147.91
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 $34.67 / $35.48 / $38.02	Professional		$34.67	$35.48	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $4.68 / $39.81	Professional		$2.04	$4.68	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $331.13 / $1,174.90	Facility		$131.83	$331.13	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $23.44	Professional		$11.22	$13.80	$23.44