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 / $121.00 / $507.30	Facility		$59.97	$121.00	$507.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $29.56 / $32.99	Professional		$3.50	$29.56	$32.99
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 / $89.41	Professional		$21.84	$52.10	$89.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $59.67 / $109.07	Professional		$41.38	$59.67	$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 $19.33 / $58.26 / $64.26	Professional		$19.33	$58.26	$64.26
United Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $44.98 / $105.81	Facility		$42.84	$44.98	$105.81
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $32.38 / $50.03	Professional		$17.98	$32.38	$50.03