Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $65.54 / $241.28	Facility		$28.17	$65.54	$241.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $26.87 / $45.00	Professional		$16.39	$26.87	$45.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $70.64 / $372.03	Facility		$27.36	$70.64	$372.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $25.23 / $32.77	Professional		$3.50	$25.23	$32.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $78.38 / $150.40	Facility		$27.08	$78.38	$150.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $37.58 / $50.08	Professional		$15.73	$37.58	$50.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $52.43 / $87.64	Professional		$34.40	$52.43	$87.64
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 $42.60 / $42.60 / $42.60	Professional		$42.60	$42.60	$42.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $20.64 / $40.96	Professional		$12.04	$20.64	$40.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $19.66 / $34.44	Professional		$13.76	$19.66	$34.44