Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $74.97 / $111.81	Facility		$35.13	$74.97	$111.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $36.40 / $74.97	Professional		$32.99	$36.40	$74.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $122.00 / $507.30	Facility		$59.97	$122.00	$507.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $32.99 / $65.12	Professional		$4.50	$32.99	$65.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $104.90 / $196.56	Facility		$54.42	$104.90	$196.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $52.10 / $84.61	Professional		$21.84	$52.10	$84.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $61.97 / $109.07	Professional		$45.07	$61.97	$109.07
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 $55.69 / $55.69 / $55.69	Professional		$55.69	$55.69	$55.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $58.26 / $64.26	Professional		$22.49	$58.26	$64.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $27.29 / $50.03	Professional		$17.98	$27.29	$50.03