Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $55.37 / $97.12	Facility		$28.99	$55.37	$97.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $26.84 / $32.49	Professional		$20.98	$26.84	$32.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $87.34 / $685.74	Facility		$43.20	$87.34	$685.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $37.06 / $51.13	Professional		$34.18	$37.06	$51.13
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 $10.91 / $23.30 / $41.50	Professional		$10.91	$23.30	$41.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $55.41 / $211.38	Professional		$36.61	$55.41	$211.38
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 $45.02 / $45.34 / $50.06	Professional		$45.02	$45.34	$50.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $10.10 / $2,500.00	Professional		$5.05	$10.10	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $15.31 / $30.90	Professional		$11.45	$15.31	$30.90