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 $33.42 / $36.84 / $60.67	Professional		$33.42	$36.84	$60.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.69 / $195.90 / $566.76	Facility		$58.69	$195.90	$566.76
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 $47.34 / $82.88 / $135.63	Professional		$47.34	$82.88	$135.63
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 / $27.85 / $42.84	Professional		$17.98	$27.85	$42.84