Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $43.65 / $208.93	Facility		$20.89	$43.65	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $26.30	Professional		$15.14	$19.50	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $186.21 / $446.68	Facility		$34.67	$186.21	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $37.15	Professional		$26.92	$33.11	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $45.71 / $93.33	Facility		$0.48	$45.71	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.98 / $35.48	Professional		$8.32	$16.98	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $44.67 / $120.23	Professional		$19.05	$44.67	$120.23
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 $21.38 / $21.88 / $23.44	Professional		$21.38	$21.88	$23.44
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 $141.25 / $144.54 / $457.09	Facility		$141.25	$144.54	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.22 / $19.05	Professional		$8.51	$11.22	$19.05