Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $62.62 / $91.58	Facility		$30.18	$62.62	$91.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $30.18 / $49.71	Professional		$27.02	$30.18	$49.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $187.26 / $464.20	Facility		$48.07	$187.26	$464.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $24.21 / $27.02	Professional		$3.50	$24.21	$27.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.45 / $86.14 / $160.82	Facility		$44.45	$86.14	$160.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $42.46 / $73.25	Professional		$17.87	$42.46	$73.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $68.66 / $253.65	Professional		$38.77	$68.66	$253.65
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 $45.62 / $45.62 / $45.62	Professional		$45.62	$45.62	$45.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $47.72 / $52.64	Professional		$18.41	$47.72	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $22.35 / $40.98	Professional		$14.74	$22.35	$40.98