Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $77.94 / $131.01	Facility		$37.56	$77.94	$131.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $39.29 / $63.89	Professional		$34.06	$39.29	$63.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $113.74 / $475.12	Facility		$59.82	$113.74	$475.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $30.13 / $33.63	Professional		$3.50	$30.13	$33.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $99.40 / $201.02	Facility		$55.25	$99.40	$201.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $52.40 / $82.16	Professional		$22.34	$52.40	$82.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $76.42 / $199.04	Professional		$44.54	$76.42	$199.04
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 $56.77 / $56.77 / $56.77	Professional		$56.77	$56.77	$56.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $32.09 / $65.51	Professional		$10.99	$32.09	$65.51
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $27.51 / $46.84	Professional		$18.34	$27.51	$46.84