Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $97.83 / $488.41	Facility		$42.84	$97.83	$488.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $38.56 / $74.68	Professional		$34.27	$38.56	$74.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $119.50 / $507.30	Facility		$59.97	$119.50	$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 $47.34 / $83.79 / $240.94	Professional		$47.34	$83.79	$240.94
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 $22.49 / $54.48 / $64.26	Professional		$22.49	$54.48	$64.26
United Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $32.09 / $53.47	Professional		$17.98	$32.09	$53.47