Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $52.72 / $320.95	Facility		$28.99	$52.72	$320.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $26.84 / $31.16	Professional		$20.98	$26.84	$31.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.28 / $312.60 / $787.01	Facility		$223.28	$312.60	$787.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $73.84 / $127.62	Facility		$2.15	$73.84	$127.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $21.23 / $41.50	Professional		$10.10	$21.23	$41.50
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 $11.12 / $15.31 / $30.90	Professional		$11.12	$15.31	$30.90