Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $69.29 / $105.84	Facility		$34.86	$69.29	$105.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $34.25 / $48.66	Professional		$31.22	$34.25	$48.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.46 / $109.54 / $426.15	Facility		$54.46	$109.54	$426.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $27.98 / $31.22	Professional		$3.50	$27.98	$31.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.52 / $89.88 / $186.13	Facility		$51.52	$89.88	$186.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $48.66 / $69.56	Professional		$20.68	$48.66	$69.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $77.25 / $237.29	Professional		$44.81	$77.25	$237.29
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 $52.72 / $52.72 / $52.72	Professional		$52.72	$52.72	$52.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $55.15 / $60.83	Professional		$55.15	$55.15	$60.83
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $24.33 / $42.62	Professional		$17.03	$24.33	$42.62