Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $68.70 / $102.47	Facility		$32.19	$68.70	$102.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $32.19 / $68.70	Professional		$30.23	$32.19	$68.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $100.04 / $415.64	Facility		$53.00	$100.04	$415.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $27.09 / $51.04	Professional		$3.50	$27.09	$51.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $87.45 / $180.18	Facility		$49.85	$87.45	$180.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $47.72 / $74.87	Professional		$20.02	$47.72	$74.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $71.75 / $255.41	Professional		$43.38	$71.75	$255.41
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 $51.04 / $51.04 / $51.04	Professional		$51.04	$51.04	$51.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $48.09 / $58.89	Professional		$20.61	$48.09	$58.89
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $24.73 / $41.26	Professional		$16.48	$24.73	$41.26