Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $54.64 / $81.48	Facility		$25.60	$54.64	$81.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $25.60 / $41.53	Professional		$24.04	$25.60	$41.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $57.50 / $328.14	Facility		$36.52	$57.50	$328.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $21.54 / $24.04	Professional		$3.50	$21.54	$24.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $69.23 / $144.44	Facility		$39.47	$69.23	$144.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $35.90 / $52.96	Professional		$12.53	$35.90	$52.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $52.90 / $153.25	Professional		$34.50	$52.90	$153.25
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 $40.59 / $40.59 / $40.59	Professional		$40.59	$40.59	$40.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $42.46 / $46.83	Professional		$13.75	$42.46	$46.83
United Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $32.78 / $77.11	Facility		$31.22	$32.78	$77.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $17.17 / $31.36	Professional		$13.11	$17.17	$31.36