Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $47.51 / $87.50	Facility		$26.12	$47.51	$87.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $24.19 / $28.08	Professional		$18.85	$24.19	$28.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $127.47 / $692.26	Facility		$43.20	$127.47	$692.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $40.90 / $46.07	Professional		$33.40	$40.90	$46.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $66.53 / $114.98	Facility		$1.92	$66.53	$114.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $19.14 / $37.13	Professional		$9.90	$19.14	$37.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $42.34 / $125.06	Professional		$29.57	$42.34	$125.06
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 $34.94 / $35.63 / $38.09	Professional		$34.94	$35.63	$38.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $4.30 / $2,500.00	Professional		$2.04	$4.30	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $13.79 / $27.84	Professional		$11.23	$13.79	$27.84