Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $57.54 / $91.58	Facility		$28.77	$57.54	$91.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $29.83 / $61.41	Professional		$27.02	$29.83	$61.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $100.04 / $415.64	Facility		$49.12	$100.04	$415.64
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 / $163.81	Professional		$38.77	$68.66	$163.81
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 Facility Modifier Low / Median / High Price $58.85 / $58.85 / $58.85	Facility		$58.85	$58.85	$58.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $22.81 / $40.98	Professional		$14.74	$22.81	$40.98